Individual
SCOTT R. GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3122 N ASHLAND AVE, CHICAGO, IL 60657-3014
(773) 769-9200
(773) 506-6083
Mailing address
3122 N ASHLAND AVE, CHICAGO, IL 60657-3014
(773) 769-9200
(773) 506-6083
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036-129556
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129556
—
IL
Enumeration date
05/01/2007
Last updated
12/22/2023
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