Individual
DR. THOMAS W GOSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3627 N WESTERN AVE, CHICAGO, IL 60618-4714
(773) 525-2022
(773) 525-2024
Mailing address
6007 N SHERIDAN RD, #33C, CHICAGO, IL 60660-3039
(773) 769-2040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007916
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007916
—
IL
Enumeration date
03/03/2007
Last updated
11/09/2017
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