EMILY ANN GOODMAN MD NPI 1912401308

NPI Information

NPI: 1912401308
Provider Name: EMILY ANN GOODMAN, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
5841 S. MARYLAND AVE. M/C 6040
CHICAGO, IL
ZIP 60637
Phone: (773) 702-1860
Get Directions

Emily Ann Goodman, MD is a vascular surgery surgery in Chicago, IL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Emily Ann Goodman, MD NPI is 1912401308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5841 S. MARYLAND AVE. M/C 6040
CHICAGO, IL
ZIP 60637-401
Phone: (773) 702-1860
Fax: (773) 926-0732

The NPI 1912401308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2018 and was last updated on 6/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		036.165209	ILLINOIS	No
2	2086S0129X	Surgery	Vascular Surgery	036.165209	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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