Organization Active NPI

Raj K Goyal MD SC

  • Ophthalmology Physician
  • Bedford Park, IL
National Provider Identifier
1366572380
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-106534 Issued in IL
Legal business name
RAJ K GOYAL MD SC
Practice address
7456 S State Rd Ste 302
Bedford Park, IL 60638-6625
Phone
(773) 873-0052
Fax
(773) 873-0054
NPI assigned
Mar 7, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Dr. Raj Kamal Goyal, M.D., M.P.H.NPI 1699768721
Title
President
Phone
(312) 802-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-106534 IL Primary

Addresses

Primary practice location

7456 S State Rd Ste 302
Bedford Park, IL 60638-6625

Mailing address

7456 S State Rd Ste 302
Bedford Park, IL 60638-6625
Phone (773) 873-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070502000288 IL Part B Supplier - Clinic/Group Practice 8628174075 Receives reassigned benefits from 3 practitioners
Practice locations: Chicago, IL; Bedford Park, IL

National Provider Directory

National Provider Directory

Locations

8541 S State St
Ste 5
Chicago, IL 60619
Phone (773) 873-0052

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1366572380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD STE 302",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386625",
            "telephone_number": "773-873-0052",
            "fax_number": "773-873-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD STE 302",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386625",
            "telephone_number": "773-873-0052",
            "fax_number": "773-873-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ K GOYAL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-802-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-106534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.