SearchIllinois152W00000X

Kevin Goodwin

NPI 1740697408 · on the registry since 2014

Practice

Address
1050 Ogden Ave
Montgomery, IL 60538
Phone
(630) 449-1955
Organisation at this address
Sams West Inc
Sam'S West, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-15

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