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General NPI Number Information
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NPI Number | 1720377112
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Entity Type | Organization
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Legal Business Name | GOYKE HEALTH CENTER PC
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 2401 KANEVILLE RD STE 3
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City | GENEVA
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State | IL
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Zip | 60134-2577
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Country | US
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Telephone | 630-715-1183
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 KANEVILLE RD STE 3
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City | GENEVA
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State | IL
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Zip | 60134-2577
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Country | US
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Telephone | 630-715-1183
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN GOYKE
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Credential | D.C.
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Telephone | 630-898-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007575
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License Number State | IL
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