Gomez, Mary Astor

Gomez, Mary Astor is an individual health care provider with primary practice located at 2300 N Childrens Plz , Chicago IL 60614-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gomez, Mary Astor can be contacted via phone (773) 880-3816.

Contact Information

Primary practice address
2300 N Childrens Plz Chicago IL 60614-3363
Phone: (773) 880-3816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209-004575 Illinois

Profile Details

NPI number 1780799080
LBN Legal business name Gomez, Mary Astor
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jun 11th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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