Individual
DANIEL AARON GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
(312) 238-3695
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-140366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036140366-1
—
IL
01
—
P01789510
RAILROAD MEDICARE
IL
Enumeration date
03/23/2012
Last updated
04/25/2022
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