Individual
ERIC GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CWOCN, CFCN
Contact information
Practice address
418 OTIS AVE, DOWNERS GROVE, IL 60515-3051
(630) 235-1108
Mailing address
418 OTIS AVE, DOWNERS GROVE, IL 60515-3051
(630) 235-1108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041332410
IL
163WC2100X
Continence Care Registered Nurse
041332410
IL
163WE0900X
Enterostomal Therapy Registered Nurse
041332410
IL
163WH0200X
Home Health Registered Nurse
041332410
IL
163WW0000X
Wound Care Registered Nurse
041332410
IL
163WX1500X
Ostomy Care Registered Nurse
041332410
IL
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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