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Contact Information

BRIAN P GOMOLL, MD
5000 S 5TH AVE
HINES, IL60141-3030
 Phone: 708-202-2002
 Fax: 708-202-2024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRIAN P GOMOLL · (Male)

NPI # 1285876979
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2009
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.130084
  • IL License # 036130084
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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