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Contact Information

MICHAEL J GOOTEE, MD
420 NE GLEN OAK AVE
PEORIA, IL61603-3105
 Phone: 309-655-4180
 Fax: 309-655-3948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MICHAEL J GOOTEE · (Male)

NPI Number 1720050982
Status Active
Credentials MD
Entity Individual
Enumeration date 02/02/2006
Last updated 03/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036090454
  • IL Medicaid 036090454
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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