Goodman, Michael Jeffrey

Goodman, Michael Jeffrey is an individual health care provider with primary practice located at 800 Biesterfield Rd Suite 505, Elk Grove Village IL 60007-3311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goodman, Michael Jeffrey can be contacted via phone (847) 437-5843.

Contact Information

Primary practice address
800 Biesterfield Rd Suite 505 Elk Grove Village IL 60007-3311
Phone: (847) 437-5843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1649322439
LBN Legal business name Goodman, Michael Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 9th, 2007 - about 17 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 1649322439 NPPES
Illinois Other 1615451 BLUE CROSS ID

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