Individual
DR. FREDERICK AUGUSTUS GODLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA, MS
Contact information
Practice address
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637-1443
(773) 702-2500
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.075458
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.075458
IL
Other
Enumeration date
04/17/2020
Last updated
06/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us