Individual
SANDRA GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, RM. I-440, CHICAGO, IL 60637-1447
(773) 702-6842
Mailing address
5841 S MARYLAND AVE, RM. I-440, CHICAGO, IL 60637-1447
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036137541
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036132095
STATE LICENSE
IL
Enumeration date
03/24/2011
Last updated
09/20/2024
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