Provider Demographics
NPI:1285749077
Name:GOODMAN, KARLENE E (MD)
Entity type:Individual
Prefix:DR
First Name:KARLENE
Middle Name:E
Last Name:GOODMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E GOLF RD STE 115
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4049
Mailing Address - Country:US
Mailing Address - Phone:773-271-8345
Mailing Address - Fax:773-275-0318
Practice Address - Street 1:415 E GOLF RD STE 115
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4049
Practice Address - Country:US
Practice Address - Phone:773-271-8345
Practice Address - Fax:773-275-0318
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360733892084P0800X, 102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036073389Medicaid
IL203364Medicare ID - Type Unspecified
ILE65626Medicare UPIN