Provider Demographics
NPI:1790839090
Name:GOYAL, VINOD K (MD)
Entity Type:Individual
Prefix:
First Name:VINOD
Middle Name:K
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1640 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3985
Mailing Address - Country:US
Mailing Address - Phone:847-255-7400
Mailing Address - Fax:847-398-4585
Practice Address - Street 1:1640 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3985
Practice Address - Country:US
Practice Address - Phone:847-255-7400
Practice Address - Fax:847-398-4585
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC43952Medicare UPIN