MEDICARE: DR. RAM GOEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician		IL

General Provider Information

NPI Number	:	1255387007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAM GOEL MD

Provider Business Mailing Address
First Line	:	920 WEST ST
Second Line	:	SUITE 116
City	:	PERU
State	:	IL
Zip	:	61354-2763
Country	:	US
Telephone Number	:	815-223-6222
Fax Number	:	815-233-3838

Provider Business Practice Location Address
First Line	:	920 WEST ST
Second Line	:	SUITE 116
City	:	PERU
State	:	IL
Zip	:	61354-2763
Country	:	US
Telephone Number	:	815-223-6222
Fax Number	:	815-233-3838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. RAM GOEL MD” Practice Location

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