Individual
MS. LINDSEY GOUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2940 ROLLINGRIDGE RD, SUITE 102, NAPERVILLE, IL 60564-4231
(630) 579-6500
(630) 579-5860
Mailing address
2940 ROLLINGRIDGE RD, SUITE 102, NAPERVILLE, IL 60564-4231
(630) 579-6500
(630) 579-5860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K40975
MEDICARE PROVIDER NUMBER
IL
Enumeration date
01/02/2007
Last updated
03/09/2021
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