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Individual
MR. RAY GOODWIN
Active
Individual
MR. RAY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
209015191
IL
363LF0000X
Family Nurse Practitioner
Primary
209015191
IL
Other
Enumeration date
03/27/2017
Last updated
04/07/2025
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