| Gomez Medical Group, Inc | |
|
1600 N Randall Rd Ste 155 Elgin IL 60123-7805 | |
| (224) 856-2300 | |
| (224) 856-2305 |
| Full Name | Gomez Medical Group, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 N Randall Rd Ste 155, Elgin, Illinois |
| Authorized Official Name and Position | Angel Gomez (PRESIDENT/OWNER) |
| Authorized Official Contact | 8478940755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gomez Medical Group, Inc 1 Long Cove Ct Lake In The Hills IL 60156-6332 Ph: (847) 894-0755 | Gomez Medical Group, Inc 1600 N Randall Rd Ste 155 Elgin IL 60123-7805 Ph: (224) 856-2300 |
| NPI Number | 1164823779 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 2466779806 |
|---|---|
| Medicare Enrollment ID | O20150325000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164823779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036066870 (Illinois) | Primary |
| Provider Name | Angel G Gomez Galan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730236035 PECOS PAC ID: 0244299964 Enrollment ID: I20041007000616 |
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