Individual
DR. ELI G GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 479-5890
Mailing address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 479-5890
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036113160
IL
Other
Enumeration date
10/02/2006
Last updated
12/21/2016
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