Individual
GERARD MARTIN GOSHGARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 N GREENLEAF ST, GURNEE, IL 60031-3326
(847) 244-4343
(847) 244-8111
Mailing address
105 N GREENLEAF ST, GURNEE, IL 60031-3326
(847) 244-4343
(847) 244-8111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900741
BCBS OF ILLINOIS
IL
Enumeration date
10/03/2006
Last updated
03/11/2008
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