Doctor Name: | DR. GOLDWYN BONNER FOGGIE |
NPI Number: | 1013925387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036094353 |
Business Practice Address: | 15620 Wood St Harvey, IL - 604264171 |
Business Phone Number: | 7083333030 |
Business Fax Number: | 7083336060 |
Mailing Address: | 9730 S Western Ave, Ste 100 EVERGREEN PARK |
State: | IL |
Postal Code: | 608052814 |
Phone Number: | 7084251907 |
Fax Number: | 7084229816 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 11/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 036094353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |