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 |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 390 E Congress Pkwy, Crystal Lake, Illinois |
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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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