institution
Umesh P. Goswami, Md Sc
Primary Care Clinic/Center in Dekalb, Illinois
NPI 1033393889

Umesh P. Goswami, Md Sc is a Primary Care Clinic/Center based in Dekalb, IL and is specialized in Primary Care. Umesh P. Goswami, Md Sc practices in Dekalb, IL. The NPI Number for Umesh P. Goswami, Md Sc is 1033393889 and holds a License No. 042005119 (Illinois).

The current practice location address for Umesh P. Goswami, Md Sc is 625 Bethany Rd, Dekalb, IL and can be reached out via phone at 815-758-5100 and via fax at 815-758-5144.

Location: 625 Bethany Rd, Dekalb, IL, 60115-4908
institution
Provider Profile Details
NPI Number
1033393889
Provider Name
Umesh P. Goswami, Md Sc
Credential
Provider Entity Type
Organization
Address
625 Bethany Rd, Dekalb, IL, 60115-4908
Phone Number
815-758-5100
Fax Number
815-758-5144
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21609266 01 IL BCBS
036058246 05 IL
institution
Provider Business Practice Location Address Details
Address
625 Bethany Rd
City
State
Zip
60115-4908
Phone Number
815-758-5100
Fax Number
815-758-5144
person
Provider Business Mailing Address Details
Address
625 Bethany Rd
City
State
Zip
60115-4908
Phone Number
815-758-5100
Fax Number
815-758-5144
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
042005119 (Illinois)
Definition
Definition to come...
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