Ira J Goodman in Burr Ridge - Specialist

Ira J Goodman - NPI 1710984794

Ira J Goodman is a Specialist in Burr Ridge, Illinois. Ira J Goodman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ira J Goodman is 1710984794. The last update date is 2014-10-08.

Ira J Goodman's current location address is 7055 High Grove Blvd, Burr Ridge, Illinois. You can contact this provider via phone number 6303719980 and fax number 6303719983. The mailing address for Ira J Goodman is 7055 High Grove Blvd, Burr Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Ira J Goodman
Address 7055 High Grove Blvd, Burr Ridge, Illinois
Phone Number 6303719980
Fax Number 6303719983
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1710984794
Provider Enumeration Date 2005-07-05
Last Updated Date 2014-10-08

Provider Mailing Address Detail

Address 7055 High Grove Blvd
City Burr Ridge
State Illinois (IL)
Post Code 605277593
Phone Number 6303719980
Fax Number 6303719983

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36082680
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Ira J Goodman

What is the unique 10-digit identification code issued to Ira J Goodman by the Centers for Medicare & Medicaid Services?

The Ira J Goodman has been assigned the NPI (National Provider Identifier) 1710984794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Ira J Goodman is physically located?

The Ira J Goodman is physically situated at the following address: 7055 High Grove Blvd, Burr Ridge, IL, 605277593.

What is Ira J Goodman's area of expertise and its corresponding taxonomy classification?

The Ira J Goodman's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1710984794 assigned to Ira J Goodman?

The Ira J Goodman was issued its 1710984794 on 2005-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Ira J Goodman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ira J Goodman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-10-08.

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