NPI 1053853796

Greggory Goodman

Practitioner Clinical Ethicist Hampton, IL

Practice location

Address: 508 14th Avenue CT, Hampton, IL 61256-9603
Phone: (309) 373-4151

Registered specialties

Clinical Ethicist Primary

Other Service Providers Taxonomy 174V00000X Licence 160.007718 (IL)

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Registry record

NPI: 1053853796
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2016
Record last updated: 11 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.