MEDICARE: MARLEE ROSE GOFF PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5340-23	WI
2	363A00000X	Physician Assistant	085007181	IL

General Provider Information

NPI Number	:	1457910093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEE ROSE GOFF PA-C

Provider Business Mailing Address
First Line	:	635 N DEARBORN ST
Second Line	:	ST 100
City	:	CHICAGO
State	:	IL
Zip	:	60654-4618
Country	:	US
Telephone Number	:	312-694-2273
Fax Number	:	312-694-2129

Provider Business Practice Location Address
First Line	:	635 N DEARBORN ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4618
Country	:	US
Telephone Number	:	312-694-2273
Fax Number	:	312-694-2129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	12/02/2025

Similar Medicare Providers

1497355838 — ESMERALDA ZAMORA APRN, FNP-BC
Practice Location Address:

635 N DEARBORN ST STE 100
CHICAGO, IL
60654-4618

Practice Phone: 312-694-2273
Practice Fax: 312-694-2129

1952393860 — DR. CHRISTINA MARIE TAUFEN D.O.
Practice Location Address:

635 N DEARBORN ST
CHICAGO, IL
60654-4618

Practice Phone: 312-694-2273
Practice Fax: 312-694-2129

1245221134 — DR. ABBAS F AL-SARAF M.D.
Practice Location Address:

635 N DEARBORN ST STE 100
CHICAGO, IL
60654-4618

Practice Phone: 312-694-2127
Practice Fax: 312-694-2129

1073523593 — KHALILAH B BABINO DO
Practice Location Address:

635 N DEARBORN ST STE 100
CHICAGO, IL
60654-4618

Practice Phone: 312-694-2127
Practice Fax: 312-694-2129

1396930590 — RANILO JOHN RABACAL MD
Practice Location Address:

635 N DEARBORN ST
CHICAGO, IL
60654-4618

Practice Phone: 312-694-2273
Practice Fax: 312-694-2129

1902094253 — NEETHA GHEJJI MARTENS MD
Practice Location Address:

635 N DEARBORN ST STE 100
CHICAGO, IL
60654-4618

Practice Phone: 312-694-2127
Practice Fax:

Directions to “ MARLEE ROSE GOFF PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.