Individual
DR. CHARLES B. GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2841 HOME AVE, BERWYN, IL 60402-2951
(708) 425-3540
Mailing address
2841 SOUTH HOME AVE., BERWYN, IL 60402-2951
(708) 425-3540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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