Dr David A Goodman, MD PHD is a 
Otolaryngology physician based in Crystal Lake, Illinois. Dr David A Goodman is licensed to practice in Illinois (license number ) and his current practice location is 390 E Congress Pkwy, Unit M, Crystal Lake, Illinois. He can be reached at his office (for appointments etc.) via phone at 
(815) 455-0858.
NPI number for Dr David A Goodman is 1477610665 and his current mailing address is 390 E Congress Pkwy, Unit M, Crystal Lake, Illinois. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477610665.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Dr David A Goodman | 
|---|
| Gender | Male | 
|---|
| Speciality | Otolaryngology | 
|---|
| Location | 390 E Congress Pkwy, Crystal Lake, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1477610665
 - Provider Enumeration Date: 01/03/2007
 - Last Update Date: 07/08/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr David A Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1477610665 | NPI | - | NPPES | 
| 036073838 1 | Medicaid | IL |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 207Y00000X | Otolaryngology  |  (Illinois) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David A Goodman is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr David A Goodman, MD PHD 390 E Congress Pkwy, Unit M, Crystal Lake, IL 60014-6202 Ph: (815) 455-0858 | Dr David A Goodman, MD PHD 390 E Congress Pkwy, Unit M, Crystal Lake, IL 60014-6202 Ph: (815) 455-0858 | 
		
		 
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