Goode, Mark L

Goode, Mark L is an individual health care provider with primary practice located at 3231 Euclid Ave Suite 405, Berwyn IL 60402-3471. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Goode, Mark L can be contacted via phone (708) 783-2644.

Contact Information

Primary practice address
3231 Euclid Ave Suite 405 Berwyn IL 60402-3471
Phone: (708) 783-2644
Fax: (708) 783-0514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036089656 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036089656 Illinois

Profile Details

NPI number 1023121167
LBN Legal business name Goode, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Dec 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023121167 NPPES
Illinois MEDICAID 036089656
Illinois Other 36089656
Illinois Other 110205012

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