Goodman, Ira J
Goodman, Ira J is an individual health care provider with primary practice located at 7055 High Grove Blvd Suite 10, Burr Ridge IL 60527-7593. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goodman, Ira J can be contacted via phone (630) 371-9980.Contact Information
Primary practice address
7055 High Grove Blvd Suite 10
Burr Ridge IL 60527-7593
Phone: (630) 371-9980
Fax: (630) 371-9983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036082680 | Illinois |
Profile Details
| NPI number | 1710984794 |
|---|---|
| LBN Legal business name | Goodman, Ira J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Oct 8th, 2014 - about 11 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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