Mark L Goode in Berwyn - Critical Care Medicine
Mark L Goode - NPI 1023121167
Mark L Goode is a Critical Care Medicine in Berwyn, Illinois. Mark L Goode practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Mark L Goode is 1023121167. The last update date is 2011-12-13.
Mark L Goode's current location address is 3231 Euclid Ave, Berwyn, Illinois. You can contact this provider via phone number 7087832644 and fax number 7087833973. The mailing address for Mark L Goode is 3231 Euclid Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark L Goode |
|---|---|
| Address | 3231 Euclid Ave, Berwyn, Illinois |
| Phone Number | 7087832644 |
| Fax Number | 7087833973 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023121167 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2011-12-13 |
Provider Mailing Address Detail
| Address | 3231 Euclid Ave |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604023471 |
| Phone Number | 7087832644 |
| Fax Number | 7087833973 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 36089656 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36089656 | IL | -- | |
| 36089656 | IL | STATE OF ILLINOIS LICENSE | |
| 110205012 | IL | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark L Goode?
The Mark L Goode has been issued the NPI (National Provider Identifier) 1023121167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark L Goode?
The Mark L Goode is physically situated at 3231 Euclid Ave, in the city of Berwyn, state of IL, with the postal code 604023471.
What is Mark L Goode's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark L Goode's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023121167 to Mark L Goode?
The Mark L Goode received its 1023121167 assignment from the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date was the information regarding Mark L Goode, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark L Goode, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-13.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH