Individual
RAYMOND GOUTTAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 E SCHAUMBURG RD, SUITE 260, SCHAUMBURG, IL 60194-5166
(847) 895-4540
Mailing address
1375 E SCHAUMBURG RD, SUITE 260, SCHAUMBURG, IL 60194-5166
(847) 895-4540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036068607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068607
—
IL
01
—
1617631
BLUE CROSS BLUE SHIELD
IL
01
—
202591
MEDICARE
IL
01
—
R03464
MEDICARE
IL
Enumeration date
12/05/2006
Last updated
06/22/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us