Individual
RICHARD L GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 SAINT MARYS LN, LINDENHURST, IL 60046-4968
(847) 387-0006
Mailing address
53 SAINT MARYS LN, LINDENHURST, IL 60046-4968
(847) 387-0006
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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