Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | IL |
NPI | 1013077346 |
---|---|
Provider Name | Dr. Sarita Goyal |
First Address | Chicago, IL 60707-3838 |
Second Address | Chicago, IL 60707-3838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 08/07/2007 |