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
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