Individual
MR. WILLIAM A. GOODFELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 S. BATAVIA AVE., GENEVA, IL 60134
(630) 337-9490
Mailing address
1010 S. BATAVIA AVE., GENEVA, IL 60134
(630) 337-9490
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036-042732
IL
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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