Guillermo Gamboa, O.D

NPI 1982897005 · on the registry since 2007 · sole proprietor

Practice

Address: 10434 S Kedzie Ave
Chicago, IL 60655
Phone: (773) 445-2700
Fax: (773) 445-2325
Organisation at this address: Bush Family Eye Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Also registered as: Sports Vision Optometrist
Vision Therapy Optometrist
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois