Individual
DR. DENISE M. GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4800
Mailing address
225 E CHICAGO AVE # 73, CHICAGO, IL 60611-2991
(312) 227-4800
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036089853
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089853
—
IL
Enumeration date
12/15/2006
Last updated
08/16/2021
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