Kevin Adam Goodell in Great Lakes - Medical
Kevin Adam Goodell - NPI 1952588725
Kevin Adam Goodell is a Medical in Great Lakes, Illinois. Kevin Adam Goodell practices all healthcare services and medical treatments related to Medical. The NPI Number for Kevin Adam Goodell is 1952588725. The last update date is 2019-10-29.
Kevin Adam Goodell's current location address is 3420 Illinois St, Great Lakes, Illinois. You can contact this provider via phone number 8476882251. The mailing address for Kevin Adam Goodell is 3420 Illinois St, Great Lakes, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Adam Goodell |
|---|---|
| Address | 3420 Illinois St, Great Lakes, Illinois |
| Phone Number | 8476882251 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1952588725 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2019-10-29 |
Provider Mailing Address Detail
| Address | 3420 Illinois St |
|---|---|
| City | Great Lakes |
| State | Illinois (IL) |
| Post Code | 600883120 |
| Phone Number | 8476882251 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Kevin Adam Goodell by the Centers for Medicare & Medicaid Services?
The Kevin Adam Goodell has been assigned the NPI (National Provider Identifier) 1952588725 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kevin Adam Goodell is located?
The Kevin Adam Goodell is situated at the following address: 3420 Illinois St, Great Lakes, IL, 600883120.
What is the Kevin Adam Goodell's specialty and taxonomy code?
The Kevin Adam Goodell's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date was the 1952588725 assigned to Kevin Adam Goodell?
The Kevin Adam Goodell was issued its 1952588725 on 2008-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kevin Adam Goodell's details last updated?
The information pertaining to the Kevin Adam Goodell, including its address, specialty, and other details, was most recently updated on 2019-10-29.
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