Christopher Graves Goetz, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036053565 Issued in IL

Practice address

1725 W Harrison
#755 Neuroscience Institute Sect of Movement Disorders
Chicago, IL 60612-3824

Phone

(312) 563-2030

Fax

(312) 563-2684

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgoetz6601@direct.rush.rush-health.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Neurology

  Medicare reassignment NPD
• Rush University Medical Center

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1184269425
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124004585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON",
            "address_2": "#755 UNIVERSITY NEUROLOGISTS SECT OF MOVEMENT DISORDERS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123824",
            "telephone_number": "312-942-2900",
            "fax_number": "312-563-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON",
            "address_2": "#755 NEUROSCIENCE INSTITUTE SECT OF MOVEMENT DISORDERS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123824",
            "telephone_number": "312-563-2030",
            "fax_number": "312-563-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "GRAVES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036053565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053565",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CS  IL DEPT OF PROF REG",
            "identifier": "336018292",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Lee Goetgeluck, DPT
• Allison Louise Goetsch, MS, CGC
• Wendy Goetter, APN RN
• Ami Goetz, LSW, PEL
• Celine Goetz, MD
• Jillian Carey Goetz
• Marianna Goetz, DDS
• Paul William Goetz, PH.D.
• Wendy Ellen Goetz, PSY.D.
• Derek Goff

• Neurology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.