Goodman, Denise M.
Goodman, Denise M. is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Goodman, Denise M. can be contacted via phone (312) 227-4800.Contact Information
Primary practice address
225 E Chicago Ave
Chicago IL 60611-2991
Phone: (312) 227-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 036089853 | Illinois |
Profile Details
| NPI number | 1972665974 |
|---|---|
| LBN Legal business name | Goodman, Denise M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Aug 16th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972665974 | NPPES |
| Illinois | MEDICAID | 036089853 |
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