Doctor Name: | SILVIA GOMEZ |
NPI Number: | 1053724161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 149.016821 |
Business Practice Address: | 5341 W Cermak Rd Cicero, IL - 608042817 |
Business Phone Number: | 7086566430 |
Business Fax Number: | 7086566591 |
Mailing Address: | 585 Thornhill Dr, Apt 118 CAROL STREAM |
State: | IL |
Postal Code: | 601882764 |
Phone Number: | 8478846212 |
Fax Number: | 8478846687 |
NPI Enumeration Date: | 06/05/2014 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149.016821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |