MEDICARE: DR. VIRGINIA ARLENE GO M.D.

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	207V00000X	Obstetrics & Gynecology Physician	036.169517	IL

General Provider Information

NPI Number	:	1548796311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA ARLENE GO M.D.

Provider Business Mailing Address
First Line	:	2555 PATRIOT BLVD STE 200
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-8022
Country	:	US
Telephone Number	:	847-998-8200
Fax Number	:	847-998-6880

Provider Business Practice Location Address
First Line	:	900 N KINGSBURY ST STE RW-6
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-7461
Country	:	US
Telephone Number	:	312-222-8230
Fax Number	:	312-467-0743

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	12/11/2024

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