IndividualActive
Mireya Gamboa
NPI 1144919804 · Developmental Disabilities Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1144919804
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
5102 S Menard Ave
Chicago, IL 60638
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.