Emily Ann Goodlin, DO
Individual provider Active NPI Family Medicine Physician · Cicero, IL
NPI 1043949258 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1043949258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036.173299 (IL)
- Practice address
- 3040 S Cicero Ave
Cicero, IL 60804-3638 - Phone
- (708) 780-9777
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Community Health Network
Practice addresses (Care Compare)
3229 -43 W 47TH PL
Kedzie Family Health Center
Chicago, IL 60632-3011
Phone (773) 254-6044
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250917003562 | IL | Practitioner - Family Practice | 3678915303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.173299 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current |
Accepting new patients | |
| Access Community Health Network | Single Specialty | Current | Accepting new patients |
| Access Community Health Network | Current |
Accepting new patients | |
| Access Community Health Network | Past |
Accepting new patients |
Locations
600 W Fulton St
Ste 300
Chicago, IL 60661
3040 S Cicero Ave
Cicero, IL 60804
Phone (708) 780-9777
Interoperability endpoints
- egoodlin27831@direct.achn.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 036.173299 | IL | Yes |
Addresses
Primary practice location
3040 S Cicero Ave
Cicero, IL 60804-3638
Mailing address
5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785
Other providers in Cicero, IL
- Christopher Cruz Gomez
- Francisco Javier Gomez
- Michael Gomez
- Jacqueline N/a Gonzalez
- Jazmin A Gonzalez
- Sarah Elizabeth Grote
- Gur Nanak PLLC
- H & M Medical, SC
- Barbara Jean Hardin
- Health First Medical Supplies, LLC
All providers in Cicero, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.