Charles Goodman, DDS MS

NPI 1164547105 · on the registry since 2007

Practice

Address: 2835 N Sheffield Ave
Suite 408
Chicago, IL 60657
Phone: (773) 327-1613
Fax: (773) 327-3642
Organisation at this address: Jzbe
Solararx
Walgreen Co
Best Self Inc.
Rosecrance, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 112

Registry record

Primary taxonomy: Periodontics
1223P0300X
Also registered as: Periodontics
Licence states on file: IN, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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