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Contact Information

NICHOLAS W GOODMANSON, MD
4440 W 95TH ST
OAK LAWN, IL60453-2600
 Phone: 708-283-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NICHOLAS W GOODMANSON · (Male)

NPI Number 1326488065
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2013
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-145879
  • PA License # MT203989
Hospital affiliation(s)
  • ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER - (Acute Care)
    4440 W 95TH STREET
    OAK LAWN, IL 60453
  • ADVOCATE LUTHERAN GENERAL HOSPITAL - (Acute Care)
    1775 DEMPSTER ST
    PARK RIDGE, IL 60068
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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