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General NPI Number Information
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NPI Number | 1487183604
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Entity Type | Individual
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Provider Name | JORGE O GOMEZ ALARCON MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2017
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1000 N WESTMORELAND RD
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City | LAKE FOREST
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State | IL
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Zip | 60045-1658
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Country | US
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Telephone | 847-234-5600
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Fax | 847-535-7203
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Provider Business Mailing Address
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Address Line | 1901 W HARRISON ST
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City | CHICAGO
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State | IL
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Zip | 60612-3714
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Country | US
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Telephone | 312-864-6000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | MD61655565
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD61655565
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036152969
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD61655565
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 036152969
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125069815
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License Number State | IL
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