Individual
DR. BRAXTON KEITH GOODNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-0881
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-4503
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.087230
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/16/2026
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