Gomez, Raymond
Gomez, Raymond is an sole proprietor health care provider with primary practice located at 410 E Northwest Hwy , Mount Prospect IL 60056-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gomez, Raymond can be contacted via phone (847) 632-1680.Contact Information
Primary practice address
410 E Northwest Hwy
Mount Prospect IL 60056-3305
Phone: (847) 632-1680
Fax: (847) 632-1681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036101711 | Illinois |
Profile Details
| NPI number | 1598784829 |
|---|---|
| LBN Legal business name | Gomez, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Sep 26th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598784829 | NPPES |
| Illinois | MEDICAID | 036101711 |
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