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Organization
P C GOODWIN MEDICAL LLC
Active
Organization
P C GOODWIN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA DENISE GOODWIN-COLE M.D. (PRESIDENT & CEO)
(708) 424-2475
Entity
Organization
Contact information
Practice address
9401 S PULASKI RD, SUITE 101, EVERGREEN PARK, IL 60805-1924
(708) 424-2475
(708) 424-2494
Mailing address
18507 INDIE CT, HAZEL CREST, IL 60429-2469
(708) 204-0786
(708) 647-9930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036076189
IL
Other
Enumeration date
06/05/2007
Last updated
09/17/2008
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