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Individual

DR. DEAN MICHAEL GOVOSTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10258 SOUTHWEST HWY STE A, CHICAGO RIDGE, IL 60415-1361
(708) 346-9533
(708) 499-4312
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01043535A
IN
2086S0129X
Vascular Surgery Physician
Primary
036082787
IL
2086S0129X
Vascular Surgery Physician
26979-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036082787
IL
05
200123460B
IN
Enumeration date
07/22/2005
Last updated
02/14/2019
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