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Individual

JESUS GODINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPRS

Contact information

Practice address
10013 GRAND AVE, FRANKLIN PARK, IL 60131-2546
(847) 861-7702
Mailing address
10013 GRAND AVE, FRANKLIN PARK, IL 60131-2546
(847) 861-7702

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
IL

Other

Enumeration date
04/17/2026
Last updated
04/17/2026
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