Individual
KATHLEEN MARIE GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
370 LARRY POWER RD STE 1, BOURBONNAIS, IL 60914-5194
(815) 937-3515
Mailing address
370 LARRY POWER RD STE 1, BOURBONNAIS, IL 60914-5194
(815) 937-3515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023835
IL
Other
Enumeration date
09/29/2021
Last updated
09/23/2022
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