Search › Illinois › Early Intervention Provider Agency
Chetmira Gray Goggins
NPI 1205795390 · on the registry since 2026 · sole proprietor
Practice
- Address
- 539 Homan Ave
Park Forest, IL 60466 - Phone
- (773) 297-9568
Registry record
- Primary taxonomy
- Early Intervention Provider Agency
252Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-15
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