Individual
DR. GOLDWYN BONNER FOGGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15620 WOOD ST, HARVEY, IL 60426-4171
(708) 333-3030
(708) 333-6060
Mailing address
9730 S WESTERN AVE, STE 100, EVERGREEN PARK, IL 60805-2814
(708) 425-1907
(708) 422-9816
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036094353
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094353
—
IL
Enumeration date
08/03/2006
Last updated
08/08/2023
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