Provider Demographics
NPI:1578687422
Name:GOOBY, FRANK EDWARD
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:EDWARD
Last Name:GOOBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:EDWARD
Other - Last Name:GOOBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2575 W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60194-1165
Mailing Address - Country:US
Mailing Address - Phone:847-490-8870
Mailing Address - Fax:847-882-9874
Practice Address - Street 1:2575 W GOLF RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194-1165
Practice Address - Country:US
Practice Address - Phone:847-490-8870
Practice Address - Fax:847-882-9874
Is Sole Proprietor?:No
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist