Individual
DR. SAMUEL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 296-5090
(312) 766-4925
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3833
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-146785
IL
207RP1001X
Pulmonary Disease Physician
Primary
036146785
IL
Other
Enumeration date
06/15/2015
Last updated
11/14/2022
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