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Contact Information

MARK L GOODE, MD
3231 EUCLID AVE
SUITE 405
BERWYN, IL60402-3471
 Phone: 708-783-2644
 Fax: 708-783-0514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK L GOODE · (Male)

NPI # 1023121167
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 12/13/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036089656
  • IL Medicaid 036089656
  • IL Other 110205012 RAILROAD MEDICARE PIN
  • IL Other 36089656 STATE OF ILLINOIS LICENSE
Hospital affiliation(s) Not Available
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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