Goetz, Christopher Graves

Goetz, Christopher Graves is an individual health care provider with primary practice located at 1725 W Harrison #755 Neuroscience Institute Sect Of Movement Disorders, Chicago IL 60612-3824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Goetz, Christopher Graves can be contacted via phone (312) 563-2030.

Contact Information

Primary practice address
1725 W Harrison #755 Neuroscience Institute Sect Of Movement Disorders Chicago IL 60612-3824
Phone: (312) 563-2030
Fax: (312) 563-2684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036053565 Illinois

Profile Details

NPI number 1124004585
LBN Legal business name Goetz, Christopher Graves
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124004585 NPPES
Illinois MEDICAID 036053565
Illinois Other 336018292

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