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Individual

MR. JEFFREY DUANE GOODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
1455 S MICHIGAN AVE, SUITE 230, CHICAGO, IL 60605-2771
(312) 360-0702
(312) 360-0705
Mailing address
525 N ADA ST, #50, CHICAGO, IL 60622-6485
(312) 666-9968

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070.007393
IL

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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