Gomez Valencia, Javier Alfonso

Gomez Valencia, Javier Alfonso is an individual health care provider with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gomez Valencia, Javier Alfonso can be contacted via phone (312) 864-6000.

Contact Information

Primary practice address
1901 W Harrison St Chicago IL 60612-3714
Phone: (312) 864-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036130372 Illinois
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 036-130372 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-130372 Illinois

Profile Details

NPI number 1669789020
LBN Legal business name Gomez Valencia, Javier Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Apr 23rd, 2021 - about 3 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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