Individual
DR. RAJ KAMAL GOYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
7456 S STATE RD STE 302, BEDFORD PARK, IL 60638-6625
(773) 873-0052
(773) 873-0054
Mailing address
7456 S STATE RD STE 302, BEDFORD PARK, IL 60638-6625
(773) 873-0052
(773) 873-0054
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036106534
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106534
—
IL
Enumeration date
08/24/2005
Last updated
12/16/2021
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