Mark D Gomez (NPI# 1174728430, PAC ID# 1355433962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174728430 |
| PAC ID by PECOS | 1355433962 |
| Professional Enrollment ID | I20070827000471 |
| Full Name | Mark D Gomez |
| Organization Legal Name | EDWARD HEALTH VENTURES |
| Address |
130 Weber Rd Suite 100 Bolingbrook IL 60440-1519 |
| Phone Number | 6306465777 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4284531484 |
| Number of Group Practice Members | 375 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140231 | EDWARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 | 6306465777 | EDWARD HEALTH VENTURES |
| 24600 W 127th St, B100, Plainfield, IL 60585-9511 | 8157319000 | EDWARD HEALTH VENTURES |
| Organization Legal Name | EDWARD HEALTH VENTURES |
| Physicians | 387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James S Nitti | Obstetrics/gynecology | Edward Health Ventures | 932 Lake St, Suite 301, Oak Park, IL 60301-1204 |
| Ishtiaq A Habib | Internal Medicine | Edward Health Ventures | 1804 N Naper Blvd, Suite 103, Naperville, IL 60563-8831 |
| Heather P Bautista | Registered Dietitian Or Nutrition Professional | Edward Health Ventures | 8 Salt Creek Ln, Hinsdale, IL 60521-2903 |
| Matthew R De La Torre | Nurse Practitioner | Edward Health Ventures | 3540 Seven Bridges Dr, Suite 230, Woodridge, IL 60517-1222 |
| Carla B Poindexter | Clinical Social Worker | Edward Health Ventures | 1335 N Mill St, Suite 100, Naperville, IL 60563-2047 |
| Megan R Wills | Clinical Social Worker | Edward Health Ventures | 11512 183rd Pl, Suite Ne, Orland Park, IL 60467-9499 |
| Henry Legaspi | Physical Medicine and Rehabilitation | Edward Health Ventures | 1200 S York St, Suite 3160, Elmhurst, IL 60126-5626 |
| Robin Contreras | Clinical Social Worker | Edward Health Ventures | 24600 W 127th St, B325, Plainfield, IL 60585-9527 |
| Gabrielle C Zaura | Nurse Practitioner | Edward Health Ventures | 9697 W 191st St, Suite 100, Mokema, IL 60448-8609 |
| Catherine Stachnik | Neurology | Edward Health Ventures | 16151 Weber Dr, Crest Hill, IL 60403-0863 |
| Street Address |
130 WEBER RD SUITE 100 |
| City | BOLINGBROOK |
| State | IL |
| Zip | 60440-1519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Riddhi Pakrasi | Internal Medicine | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Sara V Dabrowski | Physician Assistant | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Moses S Tomacruz | Family Medicine | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Robert R Payton | General Surgery | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Kinjal Shah | Internal Medicine | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Lindsey A Lynch | Physician Assistant | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Vinayak V Dongre | Family Medicine | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Colleen J Noonan | Physician Assistant | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Hurmina Muqtadar | Neurology | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Kaitlyn R Rosales | Nurse Practitioner | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vafa Shayani | General Surgery | 402 S Schmidt Rd, Suite 235, Bolingbrook, IL 60440 | |
| Gary R Speulda | Clinical Psychologist | Gary R. Speulda, Psy.d. Ltd. | 4 Vigilance Ct, Bolingbrook, IL 60440-1223 |
| Ronald P Pieroni | Podiatry | 469 N Bolingbrook Dr, Bolingbrook, IL 60440-1322 | |
| Sijun Yang | Internal Medicine | 454 W Boughton Rd C, Bolingbrook, IL 60440-1378 | |
| Jeffrey M Mackler | Podiatry | 454 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1378 | |
| Amara Bukhari | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Mark J Mcnally | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Ashley Lederman | Chiropractic | Jbh Medical Corporation, Ltd | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 |
| Brian P Berry | Optometry | 1243 W Boughton Rd, Bolingbrook, IL 60440-1509 | |
| Mydhili Nandanan Moorthie | Family Medicine | Edward Hospital | 130 N Weber Rd, Suite 108, Bolingbrook, IL 60440-1519 |
| Find all physicians in zip 60440 | |||
| City | BOLINGBROOK |
| Zip Code | 60440 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BOLINGBROOK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark D Gomez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.