Provider Demographics
NPI:1336209618
Name:GOODE, GALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:GALINA
Middle Name:
Last Name:GOODE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3880 SALEM LAKE DR
Mailing Address - Street 2:F
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047-5292
Mailing Address - Country:US
Mailing Address - Phone:847-235-3072
Mailing Address - Fax:847-719-2265
Practice Address - Street 1:450 W IL ROUTE 22
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-7509
Practice Address - Country:US
Practice Address - Phone:847-842-4000
Practice Address - Fax:847-842-4193
Is Sole Proprietor?:No
Enumeration Date:2006-12-09
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036099384207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H22432Medicare UPIN