Individual
GAGANDEEP GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5504 N 2ND ST, LOVES PARK, IL 61111
(815) 977-4516
Mailing address
1110 EAGLES NEST LN, MONROEVILLE, PA 15146-1754
(267) 226-4760
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD438154
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
036.144684
IL
Other
Enumeration date
05/05/2011
Last updated
06/20/2018
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