Organization
ADDICTION WELLNESS SERVICES INC
Active
Organization
ADDICTION WELLNESS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAGANDEEP GOYAL MD (PRESIDENT)
(267) 226-4760
Entity
Organization
Contact information
Practice address
5504 N 2ND ST, LOVES PARK, IL 61111-5013
(815) 997-4516
Mailing address
3824 NORTHERN PIKE STE 600, MONROEVILLE, PA 15146-2156
(412) 457-0175
(412) 457-0179
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD438154
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036144684
IL LICENSE
IL
01
—
MD438154
PA LICENSE
PA
Enumeration date
11/22/2017
Last updated
01/29/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up