Search › Illinois › 174V00000X
Greggory Goodman
NPI 1053853796 · on the registry since 2016
Practice
- Address
- 508 14th Avenue Ct
Hampton, IL 61256 - Phone
- (309) 373-4151
Registry record
- Primary taxonomy
- 174V00000X
174V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois