Michael Joseph Gootee in Peoria - Plastic Surgery Within The Head & Neck
Michael Joseph Gootee - NPI 1720050982
Michael Joseph Gootee is a Plastic Surgery Within The Head & Neck in Peoria, Illinois. Michael Joseph Gootee practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Michael Joseph Gootee is 1720050982. The last update date is 2018-03-20.
Michael Joseph Gootee's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096554180 and fax number 3096553948. The mailing address for Michael Joseph Gootee is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Joseph Gootee |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096554180 |
| Fax Number | 3096553948 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720050982 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2018-03-20 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033105 |
| Phone Number | 3096554180 |
| Fax Number | 3096553948 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 36090454 |
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Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36090454 | IL | -- |
Post Comment/ Review Below
What is the Michael Joseph Gootee's 1720050982?
The Michael Joseph Gootee's NPI (National Provider Identifier) Number is 1720050982. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Joseph Gootee is physically located?
The Michael Joseph Gootee is physically situated at the following address: 420 Ne Glen Oak Ave, Peoria, IL, 616033105.
What is Michael Joseph Gootee's area of expertise and its corresponding taxonomy classification?
The Michael Joseph Gootee's field of specialization is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1720050982 to Michael Joseph Gootee?
The Michael Joseph Gootee received its 1720050982 assignment from the Centers for Medicare & Medicaid Services on 2006-02-02.
As of what date was the information pertaining to Michael Joseph Gootee, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Joseph Gootee, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-20.