Healthcare Provider Details

I. General information

NPI: 1790610160
Provider Name (Legal Business Name): JULIA GOMSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20550 S LAGRANGE RD STE 210
FRANKFORT IL
60423-1495
US

IV. Provider business mailing address

35 SHEEHAN DR
LAKE VILLA IL
60046-8766
US

V. Phone/Fax

Practice location:
  • Phone: 708-614-6860
  • Fax:
Mailing address:
  • Phone: 847-902-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: