P C Goodwin Medical Llc in Evergreen Park - Internal Medicine
P C Goodwin Medical Llc - NPI 1013110444
P C Goodwin Medical Llc is a Internal Medicine in Evergreen Park, Illinois. P C Goodwin Medical Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for P C Goodwin Medical Llc is 1013110444. The last update date is 2008-09-17.
P C Goodwin Medical Llc's current location address is 9401 S Pulaski Rd, Evergreen Park, Illinois. You can contact this provider via phone number 7084242475 and fax number 7084242494. The mailing address for P C Goodwin Medical Llc is 9401 S Pulaski Rd, Evergreen Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | P C Goodwin Medical Llc |
|---|---|
| Address | 9401 S Pulaski Rd, Evergreen Park, Illinois |
| Phone Number | 7084242475 |
| Fax Number | 7084242494 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goodwin-Cole Denise Pamela |
| Credentials | M.D. |
| Telephone Number | 7084242475 |
NPI Number Detail
| NPI Number | 1013110444 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2008-09-17 |
Provider Mailing Address Detail
| Address | 9401 S Pulaski Rd |
|---|---|
| City | Evergreen Park |
| State | Illinois (IL) |
| Post Code | 608051924 |
| Phone Number | 7084242475 |
| Fax Number | 7084242494 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36076189 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to P C Goodwin Medical Llc by the Centers for Medicare & Medicaid Services?
The P C Goodwin Medical Llc has been issued the NPI (National Provider Identifier) 1013110444, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the P C Goodwin Medical Llc located?
The P C Goodwin Medical Llc is located at 9401 S Pulaski Rd, Evergreen Park, IL 608051924.
What is P C Goodwin Medical Llc's area of expertise and its corresponding taxonomy classification?
The P C Goodwin Medical Llc's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1013110444 to P C Goodwin Medical Llc?
The Centers for Medicare & Medicaid Services assigned the 1013110444 to P C Goodwin Medical Llc on 2007-06-05.
When was the P C Goodwin Medical Llc's information last updated?
The P C Goodwin Medical Llc's information was last updated on 2008-09-17.
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