SearchIllinois103TS0200X

Sarah Goodner

NPI 1649798513 · on the registry since 2017 · sole proprietor

Practice

Address
1704 Royal Pointe Drive
Bloomington, IL 61704
Phone
(309) 253-1807

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-08-31

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