Individual
CHARLES GOOLSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-6948
(312) 926-0560
Mailing address
27W251 VIRGINIA ST, WINFIELD, IL 60190-1801
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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