Individual provider · Type 1 NPI

Mireya Gamboa

Developmental Disabilities Clinic/Center · Chicago, IL

NPI number 1144919804 Active

Practice location

5102 S Menard Ave
Chicago, IL 60638

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Other developmental disabilities clinic/center providers in Chicago

See all in Chicago →

About NPI 1144919804

Mireya Gamboa's National Provider Identifier is 1144919804, issued on May 8, 2023. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Chicago, IL. The record was last updated on May 8, 2023.