Gouttama, Raymond

Gouttama, Raymond is an individual health care provider with primary practice located at 1375 E Schaumburg Rd Suite 260, Schaumburg IL 60194-5166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gouttama, Raymond can be contacted via phone (847) 895-4540.

Contact Information

Primary practice address
1375 E Schaumburg Rd Suite 260 Schaumburg IL 60194-5166
Phone: (847) 895-4540
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036068607 Illinois

Profile Details

NPI number 1558429209
LBN Legal business name Gouttama, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jun 22nd, 2012 - about 14 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 1558429209 NPPES
Illinois Other R03464 MEDICARE
Illinois Other 1617631 MEDICARE
Illinois Other 202591 MEDICARE
Illinois MEDICAID 036068607 MEDICARE

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