Individual provider · Type 1 NPI

Enriqueta R. Gomez, NP-C

Gerontology Nurse Practitioner · Libertyville, IL

NPI number 1770041832 Active

Practice location

900 Technology Way Ste 280
Libertyville, IL 60048-5364

Mailing address

7438 W Jonquil Ter
Niles, IL 60714-3104

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X209017095 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1770041832

Enriqueta R. Gomez, NP-C's National Provider Identifier is 1770041832, issued on Mar 7, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Libertyville, IL. The record was last updated on Mar 7, 2019.