William Richard Goodell M.D.

NPI 1023054731 - Pediatrics - 2080P0207X

NPI Details
NPI 1023054731
Gender Male
Enumeration Date 06/21/2006
Last Updated 12/17/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1675 DEMPSTER ST
2ND FLOOR
PARK RIDGE IL, 60068-1110, US
Phone (847) 318-9330
Fax (847) 723-8523
Business Location
701 LEE ST
DES PLAINES IL, 60016-4539, US
Phone (847) 390-5900
Fax
Toxanomy
Taxonomy Code 2080P0207X
License State Illinois
License Number 036-077-566
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According to our database, Dr. William Richard Goodell M.D. NPI is 1023054731, taxonomy code is 2080P0207X and license number is 036-077-566, license state is located at Illinois. William Richard Goodell M.D. physically located at 1675 Dempster St, Park Ridge IL, 60068-1110. NPI Number William Richard Goodell M.D. has the Individual type.

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1023054731 NPI number is provided on an as is basis without warranty of any kind. 1023054731 is maintained by the National Plan & Provider Enumeration System. The contents of William Richard Goodell M.D. are for informational purposes only.