Guillermo Gamboa is a Optometrist in Chicago, Illinois. Guillermo Gamboa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Guillermo Gamboa is 1982897005. The last update date is 2007-08-22.
Guillermo Gamboa's current location address is 10434 S Kedzie Ave, Chicago, Illinois. You can contact this provider via phone number 7734452700 and fax number 7734452325. The mailing address for Guillermo Gamboa is 10434 S Kedzie Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guillermo Gamboa |
|---|---|
| Address | 10434 S Kedzie Ave, Chicago, Illinois |
| Phone Number | 7734452700 |
| Fax Number | 7734452325 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1982897005 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 10434 S Kedzie Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606552018 |
| Phone Number | 7734452700 |
| Fax Number | 7734452325 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the Guillermo Gamboa's unique identification number?
The Guillermo Gamboa has been assigned the NPI (National Provider Identifier) Number 1982897005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Guillermo Gamboa located?
The Guillermo Gamboa is located at 10434 S Kedzie Ave, Chicago, IL 606552018.
What is Guillermo Gamboa's area of expertise and its corresponding taxonomy classification?
The Guillermo Gamboa's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1982897005 assigned to Guillermo Gamboa?
The Guillermo Gamboa was issued its 1982897005 on 2007-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Guillermo Gamboa most recently updated or refreshed?
The details pertaining to the Guillermo Gamboa, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-22.