| Gagandeep Goyal, MD | |
|
5504 N 2nd St, Loves Park, IL 61111 | |
| (815) 977-4516 | |
| Not Available |
| Full Name | Gagandeep Goyal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 5504 N 2nd St, Loves Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083906382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD438154 (Pennsylvania) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 036.144684 (Illinois) | Primary |
| Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Gagandeep Goyal, MD 1110 Eagles Nest Ln, Monroeville, PA 15146-1754 Ph: (267) 226-4760 | Gagandeep Goyal, MD 5504 N 2nd St, Loves Park, IL 61111 Ph: (815) 977-4516 |
Dr. Sung Ling Chou, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6121 N 2nd St, Loves Park, IL 61111 Phone: 815-633-5151 | |
Michael Bernard Maloney, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8500 Fax: 815-639-8501 | |
Robert M. Glovsky, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111 Phone: 815-971-2000 | |
Kinda Muslemani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9951 Rock Cut Xing Fl 2, Loves Park, IL 61111 Phone: 815-639-8500 | |
Tracy L. Cole, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111 Phone: 815-971-2000 | |
Pedro Bantug Deguzman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8500 Fax: 815-639-8501 |