Gomez, Patrick L.

Gomez, Patrick L. is an individual health care provider with primary practice located at 3105 Magory Dr , Bloomington IL 61704-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gomez, Patrick L. can be contacted via phone (309) 243-3000.

Contact Information

Primary practice address
3105 Magory Dr Bloomington IL 61704-5403
Phone: (309) 243-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 104976 Missouri

Profile Details

NPI number 1972640134
LBN Legal business name Gomez, Patrick L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 30th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972640134 NPPES
Missouri MEDICAID 207680000

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