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Rebecca Goddard
NPI 1457696007 · on the registry since 2012 · sole proprietor
Practice
- Address
- 11142 S Washtenaw Ave
Chicago, IL 60655 - Phone
- (773) 742-1465
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-09
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