NPI 1003945478

Thomas W Goska, OD

Practitioner Optometrist Chicago, IL

Practice location

Address: 3627 N Western Ave, Chicago, IL 60618-4714
Phone: (773) 525-2022
Fax: (773) 525-2024
Mailing address: 6007 N Sheridan Rd #33c, Chicago, IL 60660-3039

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046007916 (IL)

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Registry record

NPI: 1003945478
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2007
Record last updated: 9 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.