Jordan Goodman in Bourbonnais - Family Medicine
Jordan Goodman - NPI 1538244389
Jordan Goodman is a Family Medicine in Bourbonnais, Illinois. Jordan Goodman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jordan Goodman is 1538244389. The last update date is 2018-08-08.
Jordan Goodman's current location address is 656 N Convent St Ste B, Bourbonnais, Illinois. You can contact this provider via phone number 8159365186 and fax number 8159365190. The mailing address for Jordan Goodman is 656 N Convent St Ste B, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Goodman |
|---|---|
| Address | 656 N Convent St Ste B, Bourbonnais, Illinois |
| Phone Number | 8159365186 |
| Fax Number | 8159365190 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538244389 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2018-08-08 |
Provider Mailing Address Detail
| Address | 656 N Convent St Ste B |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609141393 |
| Phone Number | 8159365186 |
| Fax Number | 8159365190 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-081034 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jordan Goodman by the Centers for Medicare & Medicaid Services?
The Jordan Goodman has been assigned the NPI (National Provider Identifier) 1538244389 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jordan Goodman?
The Jordan Goodman is situated at 656 N Convent St Ste B, in the city of Bourbonnais, state of IL, with the zip code 609141393.
What is the Jordan Goodman's specialty and taxonomy code?
The Jordan Goodman's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Jordan Goodman receive its 1538244389 assignment from the Centers for Medicare & Medicaid Services?
The Jordan Goodman was assigned its 1538244389 on 2006-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jordan Goodman most recently updated or revised?
The details related to Jordan Goodman, including its address, specialty, and other relevant information, were last updated or revised on 2018-08-08.