Goebel, James B

Goebel, James B is an individual health care provider with primary practice located at 1600 Ravinia Pl , Orland Park IL 60462-3768. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Goebel, James B can be contacted via phone (708) 349-4404.

Contact Information

Primary practice address
1600 Ravinia Pl Orland Park IL 60462-3768
Phone: (708) 349-4404
Fax: (708) 349-4533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1326033507
LBN Legal business name Goebel, James B
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 19 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 1326033507 NPPES
Illinois Other 1616923 BLUE CROSS BLUE SHIELD NU

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