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Richard L Goodson
Community Health Clinic/Center in Lindenhurst, Illinois
NPI 1598421042

Richard L Goodson is a Community Health Clinic/Center based in Lindenhurst, IL and is specialized in Community Health. Richard L Goodson practices in Lindenhurst, IL. The NPI Number for Richard L Goodson is 1598421042 and holds a License No. (Illinois).

The current practice location address for Richard L Goodson is 53 Saint Marys Ln, Lindenhurst, IL and can be reached out via phone at 847-387-0006.

Location: 53 Saint Marys Ln, Lindenhurst, IL, 60046-4968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598421042
Provider Name
Richard L Goodson
Credential
Provider Entity Type
Individual
Gender
Male
Address
53 Saint Marys Ln, Lindenhurst, IL, 60046-4968
Phone Number
847-387-0006
Fax Number
Provider Enumeration Date
11/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
53 Saint Marys Ln
City
Lindenhurst
State
Illinois
Zip
60046-4968
Phone Number
847-387-0006
Fax Number
person
Provider Business Mailing Address Details
Address
53 Saint Marys Ln
City
Lindenhurst
State
Illinois
Zip
60046-4968
Phone Number
847-387-0006
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
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