Search › Illinois › 1041C0700X
Tina Goolsby
NPI 1124529979 · on the registry since 2018
Practice
- Address
- 19530 Kedzie Ave
Flossmoor, IL 60422 - Phone
- (708) 799-2200
- Fax
- (708) 614-7831
- Organisation at this address
- Grand Prairie Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
- Sex
- Female
- Record last updated
- 2018-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois