Rachel Goodman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036093612 Issued in IL

Practice address

572 Lincoln Ave
Suite # 3
Winnetka, IL 60093-2308

Phone

(847) 501-4040

Fax

(847) 501-4075

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ann & Robert H. Lurie Children'S Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535
  NPD
• Pediatrust, L.L.C.

  • Pediatrics Physician
  • Lake Forest, IL
  • NPI 1982958013

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rgoodman113824@direct.luriechildrens.org
• Direct secure messaging: rgoodman420975@direct.myadvocateaurora.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2012.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1205901816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 LINCOLN AVE",
            "address_2": "SUITE # 3",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932308",
            "telephone_number": "847-501-4040",
            "fax_number": "847-501-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 LINCOLN AVE",
            "address_2": "SUITE # 3",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932308",
            "telephone_number": "847-501-4040",
            "fax_number": "847-501-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "RACHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036093612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Getzendanner, LCSW
• Justin Gibson
• Paige Golden, PT, DPT
• Jennifer Goldstein, LCSW
• Rena Goodfriend-Leve, M.D.
• Ronna Gordon
• Janet Beth Goss, M.A., L.P.C.
• Walter R Grobelny Jr., M.D.
• Grohmann Psychological Services, PLLC
• Dale Forrest Grooms, ATC

• All providers in Winnetka, IL
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.