JEREMY GOOD

CHAMPAIGN, IL
NPI1104196294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004264)
Enumeration Date2012-01-05
Last Update Date2024-05-29
Business Address
JEREMY GOOD PA
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1240
Mailing Address
JEREMY GOOD PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-8107
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