NPI 1174035794

Joseph Gomez, LATATC

Practitioner Athletic Trainer Glenview, IL

Practice location

Address: 2401 Ravine Way STE 200, Glenview, IL 60025-7645
Phone: (847) 832-6745
Mailing address: 2425 N Kostner Ave, Chicago, IL 60639-2024

Registered specialties (3)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 096.004853 (IL)

Other Specialist/Technologist providers in Illinois →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Illinois →

Registry record

NPI: 1174035794
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2017
Record last updated: 18 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.