# GOODWILL HEALTHCARE SERVICES INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871644146
- **Authorized official:** MRS. BEATRICE N MBAOCHA (ADMINISTRATOR)
- **Authorized official phone:** (708) 612-5628

## Contact information

- **Practice address:** 9942 S WESTERN AVE, CHICAGO, IL 60643-1831
- **Practice address phone:** (773) 779-8556
- **Practice address fax:** (773) 779-8660
- **Mailing address:** 9942 S WESTERN AVE, CHICAGO, IL 60643-1831
- **Mailing address phone:** (773) 779-8556
- **Mailing address fax:** (773) 779-8660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010491 | IL | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 11/16/2023