Goodwin, Scott R.

Goodwin, Scott R. is an individual health care provider with primary practice located at 3122 N Ashland Ave , Chicago IL 60657-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Goodwin, Scott R. can be contacted via phone (773) 769-9200.

Contact Information

Primary practice address
3122 N Ashland Ave Chicago IL 60657-3014
Phone: (773) 769-9200
Fax: (773) 506-6083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036-129556 Illinois

Profile Details

NPI number 1831310226
LBN Legal business name Goodwin, Scott R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Dec 22nd, 2023 - 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 1831310226 NPPES
Illinois MEDICAID 036129556

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