GAGANDEEP GOYAL


Address: 5504 N 2nd St, Loves Park, IL 61111
Phone: 8159774516

GAGANDEEP GOYAL (NPI# 1083906382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083906382
Entity Type Individual
Full Name GAGANDEEP GOYAL
Credential MD
Practice Address 5504 N 2nd St
Loves Park
IL 61111
Mailing Address 1110 Eagles Nest Ln
Monroeville
PA 15146-1754
Practice Telephone 8159774516
Mailing Telephone 2672264760
Enumeration Date 2011-05-05
Last Update Date 2018-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology MD438154 PA Allopathic & Osteopathic Physicians
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
036.144684 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
400 E Main St, Barrington, IL 600103204 8159774516

Office Location

Street Address 5504 N 2ND ST
City LOVES PARK
State IL
Zip Code 61111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467966853 Addiction Wellness Services Inc Anesthesiology 5504 N 2nd St, Loves Park, IL 61111-5013 2017-11-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316562788 Salli Jacobsen Technician 6699 Torch Lite Tr, Loves Park, IL 61111 2020-06-11
1003476425 Costco Wholesale Corporation Pharmacy 5000 Stadium Drive, Loves Park, IL 61111 2019-06-18
1427541077 Ronit Golan Physical Therapist 4401 Peak Dr Ste 1, Loves Park, IL 61111 2018-06-08
1598049025 Sara Debelak Developmental Therapist 7225 Golden Eagle Drive, Loves Park, IL 61111 2011-10-03
1124354261 Asap Transport, LLC Taxi 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 2009-10-25
1235212275 Roger H Hill Optometrist 4301 N Mulford Rd, Loves Park, IL 61111 2006-10-23
1831104546 Pointcore, Inc. Pharmacy 9951 Rock Cut Crossing, Loves Park, IL 61111 2006-07-30
1629099627 Lisa A. Breisch Counselor Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 2006-07-22
1386670529 Joseph L Digirolamo Chiropractor 116 East Riverside Blvd, Loves Park, IL 61111 2006-06-22
1720045859 Metro Medical Services Inc Ambulance 5112 Forest Hills Ct, Loves Park, IL 61111 2006-05-01
Find all providers in zip 61111

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033343132 Richard Joseph Wallyn Internal Medicine 1300 Brassie Ave., Flossmoor, IL 60422-1812 2009-05-05
1477752160 Arthur Hoffman Internal Medicine 2652 Broadway Ave, Evanston, IL 60201 2007-07-13
1659300796 Abhin Singla Internal Medicine 801 N Larkin Ave Ste 101, Joliet, IL 60435 2006-07-01
1841238979 Mysore N Shivaram Internal Medicine 6901 Cermak Rd, Berwyn, IL 60402-2160 2006-06-02
1659342665 Albert C Tanlim Internal Medicine 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 2006-01-28
1184189672 Calumet Counseling and Dui Services,inc Internal Medicine 1010 W 95th St, Chicago, IL 60643-1522 2019-02-08
1407395346 Bhs Physician Services of Illinois PC Internal Medicine 1237 E 1600 North Rd, Gilman, IL 60938-6112 2017-02-13
1588929525 Opioid Addiction Recovery Services PC Internal Medicine 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 2012-07-05
1376819565 Sahar Eftekhar Internal Medicine 1 E Superior St Ste 306, Chicago, IL 60611-2595 2012-04-01
1942585468 Ngu Md. Wellness Ltd. Internal Medicine 400 E Randolph St, Apt 2711, Chicago, IL 60601-7329 2011-10-15
Find all providers with the same taxonomy

Competitor

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City LOVES PARK
Zip Code 61111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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