Provider Demographics
NPI:1083866123
Name:DRS.GOOT AND ROBINSON
Entity Type:Organization
Organization Name:DRS.GOOT AND ROBINSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOOT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-263-5090
Mailing Address - Street 1:25 E WASHINGTON ST
Mailing Address - Street 2:SUITE 1211
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1708
Mailing Address - Country:US
Mailing Address - Phone:312-263-5090
Mailing Address - Fax:312-263-5131
Practice Address - Street 1:25 E WASHINGTON ST
Practice Address - Street 2:SUITE 1211
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1708
Practice Address - Country:US
Practice Address - Phone:312-263-5090
Practice Address - Fax:312-263-5131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019015200122300000X
IL019017801122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty