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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

P C GOODWIN MEDICAL LLC

Active Organization

P C GOODWIN MEDICAL LLC is a Internal Medicine organization located in EVERGREEN PARK, Illinois. NPI 1013110444 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · EVERGREEN PARK, IL

Registration Details

NPI Number
1013110444
Provider Type
Organization
NPI Issued
Jun 5, 2007 (19.209430103105 yrs)
Last Updated
Sep 17, 2008
License
036076189 (IL)

Practice Information

Address
9401 S PULASKI RD
SUITE 101
EVERGREEN PARK, IL, 608051924
Browse IL providers · Browse ZIP 60805
Phone
7084242475
Fax
7084242494
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.