Jordan Goodman, MD | |
656 N Convent St Ste B, Bourbonnais, IL 60914-1393 | |
(815) 936-5186 | |
(815) 936-5190 |
Full Name | Jordan Goodman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 656 N Convent St Ste B, Bourbonnais, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538244389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-081034 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Home Care-kankakee | Bourbonnais, IL | Home health agency |
Hospice Of Kankakee Valley Inc | Bourbonnais, IL | Hospice |
Presence St Marys Hospital | Kankakee, IL | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
Mailing Address | Practice Location Address |
---|---|
Jordan Goodman, MD 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440-4707 Ph: () - | Jordan Goodman, MD 656 N Convent St Ste B, Bourbonnais, IL 60914-1393 Ph: (815) 936-5186 |
Dr. Saw M Oo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 370 Larry Power Rd, Suite 2, Bourbonnais, IL 60914 Phone: 815-523-7020 Fax: 815-523-7022 | |
Naaz Fatima Aziz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2070 N Il-50 #500, Bourbonnais, IL 60914 Phone: 773-236-4094 | |
Dr. Jennifer Pablo Nepomuceno, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 475 Brown Blvd, Suite 106, Bourbonnais, IL 60914 Phone: 815-937-8786 Fax: 815-937-2067 | |
Dr. Reynaldo Elazegui Nepomuceno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Brown Blvd, Suite 106, Bourbonnais, IL 60914 Phone: 815-937-8786 Fax: 815-937-2067 | |
Ritu Chandan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Riverside Dr Ste 2800, Bourbonnais, IL 60914 Phone: 815-935-1100 Fax: 815-937-5966 |