Search › Illinois › 207Q00000X
Jordan Goodman, MD
NPI 1538244389 · on the registry since 2006
Practice
- Address
- 656 N Convent St Ste B
Bourbonnais, IL 60914 - Phone
- (815) 936-5186
- Fax
- (815) 936-5190
- Clinicians at this address
- 3
Additional practice sites
- 455 W Court St Ste 400, Kankakee, IL
- 692 N. Maple, Herscher, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-08
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