Goodman, Emily

Goodman, Emily is an individual health care provider with primary practice located at 2650 Ridge Ave. Department Of Pediatrics, Evanston IL 60201-1781. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Goodman, Emily can be contacted via phone (847) 570-2033.

Contact Information

Primary practice address
2650 Ridge Ave. Department Of Pediatrics Evanston IL 60201-1781
Phone: (847) 570-2033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN290081 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209024926 Illinois

Profile Details

NPI number 1558955831
LBN Legal business name Goodman, Emily
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2021
Last updated May 3rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558955831 NPPES
Georgia MEDICAID RN290081

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