Individual
DAVID GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
939 W NORTH AVE, CHICAGO, IL 60642-7138
(312) 337-3673
(312) 337-4903
Mailing address
850 W BUCKINGHAM PL APT 1S, CHICAGO, IL 60657-2372
(847) 732-5095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024399
IL
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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