Dr. Mark L Goode
Pulmonary Disease Critical Care Medicine
3231 Euclid Ave Suite 405
Berwyn
, Illinois 60402-3471
Dr. Mark L Goode
Pulmonary Disease Critical Care Medicine
3231 Euclid Ave Suite 405
Berwyn
, Illinois 60402-3471
(708) 783-3973
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Mark L Goode
- 3231 Euclid Ave Suite 405
- Berwyn, IL
- Zip : 60402-3471
- Fax : (708) 783-3973
- Phone : (708) 783-2644
Second Address
- Dr. Mark L Goode
- 3231 Euclid Ave Suite 405
- Berwyn, IL
- Zip : 60402-3471
- Fax : (708) 783-0514
- Phone : (708) 783-2644
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 036089656 | IL |
| Y | 207RP1001X | Pulmonary Disease | 036089656 | IL |
National Provider Identifier
| NPI | 1023121167 |
|---|---|
| Provider Name | Dr. Mark L Goode |
| First Address | Berwyn, IL 60402-3471 |
| Second Address | Berwyn, IL 60402-3471 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2006 |
| Last Update Date | 13/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036089656 | (05) | IL |
| 110205012 | RAILROAD MEDICARE PIN (01) | IL |
| 36089656 | STATE OF ILLINOIS LICENSE (01) | IL |
| H08113 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.