Dusty J Goodman

NPI #1366867640 in Glenview, Illinois

Provider Information

NPI Number: 1366867640
Entity Type: Individual
Name: Dusty J Goodman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Feb 24, 2014
Last Updated: Jul 29, 2019

Practice Location

Address: 2401 RAVINE WAY STE 200
City: Glenview
State: Illinois
ZIP Code: 60025-7645
Phone: (847) 998-5680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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