Provider Demographics
NPI:1780624320
Name:GOEL, NARESH C (MD)
Entity type:Individual
Prefix:DR
First Name:NARESH
Middle Name:C
Last Name:GOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 N LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-4360
Mailing Address - Country:US
Mailing Address - Phone:217-477-4768
Mailing Address - Fax:217-477-4754
Practice Address - Street 1:707 N LOGAN AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-4360
Practice Address - Country:US
Practice Address - Phone:217-477-4768
Practice Address - Fax:217-477-4754
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36060753207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
172066OtherPERSONAL CARE/COVENTRY
371181230OtherHEALTH ALLIANCE
371181230OtherPREFERRED PLAN
1373293OtherUNITED MINE WORKERS
IL09232006OtherBCBS OF ILLINOIS
371181230OtherCIGNA
371181230OtherBEECHSTREET
371181230OtherHFN
371181230OtherTRICARE/CHAMPUS
IN100014850Medicaid
247879OtherUNITED HEALTHCARE
IL09232006OtherBCBS OF ILLINOIS
1373293OtherUNITED MINE WORKERS
172066OtherPERSONAL CARE/COVENTRY
040012582Medicare ID - Type UnspecifiedRAILROAD MEDICARE