Individual
KATHRYN GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-5900
(708) 923-8599
Mailing address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-5900
(708) 923-8599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016329
IL
363LA2100X
Acute Care Nurse Practitioner
209016329
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209016329
IL
363LF0000X
Family Nurse Practitioner
209016329
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209016329
ADVANCED PRACTICE NURSE
IL
Enumeration date
08/23/2017
Last updated
11/07/2025
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