IndividualActive
Enriqueta Gomez, NP-C
NPI 1770041832 · Gerontology Nurse Practitioner · Libertyville, IL
Provider details
- NPI number
- 1770041832
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 209017095 (IL)
Practice location
900 Technology Way Ste 280
Libertyville, IL 60048-5364
Phone: (847) 549-0588
Mailing address
7438 W Jonquil Ter
Niles, IL 60714-3104
Registry dates
- Enumerated
- 2019-03-07
- Last updated
- 2019-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.