Individual
ELIZABETH CLARA GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005-2384
(847) 618-3800
(847) 618-3809
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085007020
IL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
OTHER
IL
Enumeration date
02/28/2019
Last updated
04/02/2026
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