Individual
NICOLE MARIE GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, HWNC-BC
Contact information
Practice address
10337 S PROSPECT AVE, CHICAGO, IL 60643-2824
(815) 207-3872
Mailing address
10337 S PROSPECT AVE, CHICAGO, IL 60643-2824
(815) 207-3872
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041402716
IL
Other
Enumeration date
11/19/2020
Last updated
07/24/2023
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