Search › Illinois › 101YP2500X

Kimberly Goodman, L.C.P.C

NPI 1235563149 · on the registry since 2013 · sole proprietor

Practice

Address
1153 N. Frontier Ave.
Chicago, IL 60610
Phone
(773) 410-3753

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-27

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