Organization
HERITAGE PRIMARY CARE, S.C.
Active
Organization
HERITAGE PRIMARY CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHANA GOEL M.D. (PRESIDENT)
(847) 488-9589
Entity
Organization
Contact information
Practice address
1600 N RANDALL RD, SUITE 155, ELGIN, IL 60123-7803
(847) 488-9589
(847) 931-5173
Mailing address
1600 N RANDALL RD, SUITE 155, ELGIN, IL 60123-7803
(847) 488-9589
(847) 931-5173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092129
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004522347
BCBS
IL
05
—
036092129
—
IL
Enumeration date
10/05/2007
Last updated
01/07/2015
Update your record
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