Individual
DR. VALERIE DAY GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
Mailing address
3511 N HERMITAGE AVE, CHICAGO, IL 60657-1217
(773) 929-1803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
336-060738
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
336-060738
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
336-060738
IL
Other
Enumeration date
10/11/2006
Last updated
09/29/2020
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