Individual
VADIM GOSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5501 W BELMONT AVE, CHICAGO, IL 60641
(773) 205-0106
(773) 205-8107
Mailing address
5501 W BELMONT AVE, CHICAGO, IL 60641
(773) 205-0106
(773) 205-8107
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004989
—
IL
Enumeration date
07/22/2006
Last updated
02/24/2010
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