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Qiana Goosby
NPI 1225393440 · on the registry since 2012
Practice
- Address
- 300 S Wall St
Kankakee, IL 60901 - Phone
- (815) 935-7496
- Fax
- (815) 935-7860
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-13
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