Individual
DR. UMESH P GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
599 PEARSON DR, GENOA, IL 60135-1355
(815) 784-6437
(815) 784-3933
Mailing address
599 PEARSON DR, GENOA, IL 60135-1355
(815) 784-6437
(815) 784-3933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036058246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058246
—
IL
Enumeration date
09/02/2005
Last updated
05/12/2017
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