Individual
DR. JAMES B GOEBEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1600 RAVINIA PL, ORLAND PARK, IL 60462-3768
(708) 349-4404
(708) 349-4533
Mailing address
1600 RAVINIA PL, ORLAND PARK, IL 60462-3768
(708) 349-4404
(708) 349-4533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616923
BLUE CROSS BLUE SHIELD NU
IL
Enumeration date
09/14/2005
Last updated
07/08/2007
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