Goodman, Eli G

Goodman, Eli G is an individual health care provider with primary practice located at 1600 W Walnut St , Jacksonville IL 62650-1136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Goodman, Eli G can be contacted via phone (217) 479-5890.

Contact Information

Primary practice address
1600 W Walnut St Jacksonville IL 62650-1136
Phone: (217) 479-5890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036113160 Illinois

Profile Details

NPI number 1053405589
LBN Legal business name Goodman, Eli G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Dec 21st, 2016 - about 9 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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