Eli G Goodman MD

NPI 1053405589 - Internal Medicine - 207RG0300X

NPI Details
NPI 1053405589
Gender Male
Enumeration Date 10/02/2006
Last Updated 08/25/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1836 S MACARTHUR BLVD
SPRINGFIELD IL, 62704-4030, US
Phone (217) 789-1403
Fax (217) 789-1825
Business Location
3265N ARLINGTON HEIGHTS RD 303
ARLINGTON HEIGHTS IL, 60004-1533, US
Phone (224) 347-4000
Fax (217) 789-1825
Toxanomy
Taxonomy Code 207RG0300X
License State Illinois
License Number 036113160
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According to our database, Dr. Eli G Goodman MD NPI is 1053405589, taxonomy code is 207RG0300X and license number is 036113160, license state is located at Illinois. Eli G Goodman MD physically located at 1836 S Macarthur Blvd, Springfield IL, 62704-4030. NPI Number Eli G Goodman MD has the Individual type.

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1053405589 NPI number is provided on an as is basis without warranty of any kind. 1053405589 is maintained by the National Plan & Provider Enumeration System. The contents of Eli G Goodman MD are for informational purposes only.