| P C Goodwin Medical Llc | |
|
9401 S Pulaski Rd Suite 101 Evergreen Park IL 60805-1924 | |
| (708) 424-2475 | |
| (708) 424-2494 |
| Full Name | P C Goodwin Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9401 S Pulaski Rd, Evergreen Park, Illinois |
| Authorized Official Name and Position | Pamela Denise Goodwin-cole (PRESIDENT & CEO) |
| Authorized Official Contact | 7084242475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P C Goodwin Medical Llc 18507 Indie Ct Hazel Crest IL 60429-2469 Ph: (708) 204-0786 | P C Goodwin Medical Llc 9401 S Pulaski Rd Suite 101 Evergreen Park IL 60805-1924 Ph: (708) 424-2475 |
| NPI Number | 1013110444 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013110444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036076189 (Illinois) | Primary |
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