Organization
COMPREHENSIVE PHYSICAL MEDICINE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GOESEL (PRESIDENT)
(708) 429-6061
Entity
Organization
Contact information
Practice address
6700 167TH ST, TINLEY PARK, IL 60477-2166
(708) 429-6061
(708) 429-6092
Mailing address
6700 167TH ST, TINLEY PARK, IL 60477-2166
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036 083874
IL
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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