Individual
MR. GLADYS M GOERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 EXECUTIVE DR, APARTMENT 101, CAROL STREAM, IL 60188-2447
(847) 544-6686
Mailing address
1 UNIVERSITY CIR, APARTMENT 101, MACOMB, IL 61455-1367
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
04/23/2015
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