DR. DEAN MICHAEL GOVOSTIS M.D. NPI 1386644037

NPI Information

NPI: 1386644037
Provider Name: DR. DEAN MICHAEL GOVOSTIS, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
10258 SOUTHWEST HWY STE A
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 346-9533
Get Directions

DR. Dean Michael Govostis, M.D. is a vascular surgery surgery in Chicago Ridge, IL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Dean Michael Govostis, M.D. NPI is 1386644037. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10258 SOUTHWEST HWY STE A
CHICAGO RIDGE, IL
ZIP 60415-361
Phone: (708) 346-9533
Fax: (708) 499-4312

The NPI 1386644037 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 2/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	036082787	ILLINOIS	Yes
2	2086S0129X	Surgery	Vascular Surgery	01043535A	INDIANA	No
3	2086S0129X	Surgery	Vascular Surgery	26979-20	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036082787	MEDICAID	ILLINOIS
2	200123460B	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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