DR. Frederick Augustus Godley IV, MD, MBA, MS

NPI #1831719046 in Chicago, Illinois

Provider Information

NPI Number: 1831719046
Entity Type: Individual
Name: DR. Frederick Augustus Godley IV, MD, MBA, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD, MBA, MS
Enumeration Date: Apr 17, 2020
Last Updated: Jun 24, 2020

Practice Location

Address: 5841 S MARYLAND AVE # MC1052
City: Chicago
State: Illinois
ZIP Code: 60637-1443
Phone: (773) 702-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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