Organization
ELK GROVE INTERNAL MEDICINE ASSOCIATES, S.C.
Active
Organization
ELK GROVE INTERNAL MEDICINE ASSOCIATES, S.C.
Active
Other names
Drs Goodman Weiss Cash Internal Medicine, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J GOODMAN M.D. (PRESIDENT)
(847) 437-5843
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 505, ELK GROVE VILLAGE, IL 60007-3311
(847) 437-5843
(847) 437-5859
Mailing address
800 BIESTERFIELD RD, SUITE 505, ELK GROVE VILLAGE, IL 60007-3311
(847) 437-5843
(847) 437-5859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-001731
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1615451
BLUE CROSS BLUE SHIELD ID
IL
01
—
603670
MEDICARE LEGACY
IL
01
—
C12505
RAILROAD RR MEDICARE
IL
Enumeration date
05/24/2006
Last updated
03/19/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up