Individual
ANGELA GOLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1909 N MORTON AVE, MORTON, IL 61550-1426
(309) 263-9124
Mailing address
5100 RELIABLE PAKWAY, CHICAGO, IL 60686-0001
(309) 672-4809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361116671
—
IL
01
—
097847
HEALTH ALLIANCE
IL
01
—
475091
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01T4
JOHN DEERE
IL
01
—
P00197239
RAILROAD MEDICARE
IL
Enumeration date
07/28/2006
Last updated
07/08/2007
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