Organization
UMESH P. GOSWAMI MD SC
Active
Organization
UMESH P. GOSWAMI MD SC
Active
Other names
Progressive Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANNA U GOSWAMI MD (PHYSICIAN)
(815) 762-2535
Entity
Organization
Contact information
Practice address
625 E. BETHANY RD, SUITE 3, DEKALB, IL 60115-4908
(815) 758-5100
(815) 758-5144
Mailing address
625 E. BETHANY RD, SUITE 3, DEKALB, IL 60115-4908
(815) 758-5100
(815) 758-5144
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036061013
IL
Other
Enumeration date
10/24/2007
Last updated
02/02/2009
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