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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JACQUELINE GOMES, PT
755 N LAKE DR
DU QUOIN, IL62832-2451
 Phone: 618-542-3386
 Fax: 618-542-3386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACQUELINE GOMES · (Female)

NPI Number 1003027244
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/26/2007
Last updated 03/15/2010 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070-008468
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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