Gomez Charleston, MD

NPI #1124021795 in Chicago, Illinois

Provider Information

NPI Number: 1124021795
Entity Type: Individual
Name: Gomez Charleston, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 27, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 9000 S STONY ISLAND AVE
City: Chicago
State: Illinois
ZIP Code: 60617-3508
Phone: (773) 731-0670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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