MEDICARE: STEFANIE MARGARITA GOMEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051.307762	IL

General Provider Information

NPI Number	:	1013866359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANIE MARGARITA GOMEZ

Provider Business Mailing Address
First Line	:	2515 OAK ST
Second Line	:
City	:	FRANKLIN PARK
State	:	IL
Zip	:	60131-3422
Country	:	US
Telephone Number	:	224-789-0184
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 ELMHURST RD
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-5605
Country	:	US
Telephone Number	:	847-439-4230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ STEFANIE MARGARITA GOMEZ ” Practice Location

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