Provider Demographics
NPI:1720377112
Name:GOYKE HEALTH CENTER PC
Entity Type:Organization
Organization Name:GOYKE HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOYKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-898-8900
Mailing Address - Street 1:2401 KANEVILLE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2577
Mailing Address - Country:US
Mailing Address - Phone:630-715-1183
Mailing Address - Fax:
Practice Address - Street 1:2401 KANEVILLE RD STE 3
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2577
Practice Address - Country:US
Practice Address - Phone:630-715-1183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038007575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty