Gomez, Rose

Gomez, Rose is an sole proprietor health care provider with primary practice located at 7600 W College Dr , Palos Heights IL 60463-1256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gomez, Rose can be contacted via phone (708) 361-1616.

Contact Information

Primary practice address
7600 W College Dr Palos Heights IL 60463-1256
Phone: (708) 361-1616
Fax: (708) 361-1502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36056870 Illinois

Profile Details

NPI number 1750499463
LBN Legal business name Gomez, Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Mar 27th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750499463 NPPES
Other 0021609583 BLUE CROSS

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