SearchIllinois343900000X

Rd Goodwin

NPI 1538302484 · on the registry since 2009 · sole proprietor

Practice

Address
284 E 16th St
Chicago Heights, IL 60411
Phone
(708) 757-0455

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-08

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