Mr Michael Joseph Gootee, MD | |
420 Ne Glen Oak Ave, Peoria, IL 61603-3105 | |
(309) 655-4180 | |
(309) 655-3948 |
Full Name | Mr Michael Joseph Gootee |
---|---|
Gender | Male |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 420 Ne Glen Oak Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720050982 | NPI | - | NPPES |
036090454 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 036090454 (Illinois) | Primary |
Entity Name | Midwest Ear Nose & Throat Associates S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427085620 PECOS PAC ID: 1951318781 Enrollment ID: O20060320000235 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Joseph Gootee, MD 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 Ph: (309) 655-4180 | Mr Michael Joseph Gootee, MD 420 Ne Glen Oak Ave, Peoria, IL 61603-3105 Ph: (309) 655-4180 |
Mr. Robert Thomas Parrish, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
Mr. James Curtis Hertenstein, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Rt 91, Ste 300, Peoria, IL 61615 Phone: 309-691-6616 Fax: 309-691-2943 | |
James A Geraghty, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 | |
Harrison C Putman Iii, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-3233 Fax: 309-683-4120 | |
Dr. James J Klemens, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 N Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 Fax: 309-683-4120 | |
Hetal Patel, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7301 Knoxville Ave, Peoria, IL 61614 Phone: 309-589-5900 |