Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIREYA GAMBOA
Active Sole ProprietorMIREYA GAMBOA is a Developmental Disabilities Clinic healthcare provider located in CHICAGO, Illinois. NPI 1144919804 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · CHICAGO, IL
Registration Details
- NPI Number
- 1144919804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2023 (3.2785567474276 yrs)
- Last Updated
- May 8, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
5102 S MENARD AVECHICAGO, IL, 60638Browse IL providers · Browse ZIP 60638
- Phone
- 7736711520
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| SOREIDA MAMIE FENNERR | — | 1699238170 |
| DAVID NATHANIEL ALDRIDGE | — | 1083304364 |
| TAYLOR JO WREN GESSNER | — | 1982446233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.