Individual
SUSANA GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6918 W WINDSOR AVE, BERWYN, IL 60402-3334
(708) 932-2325
Mailing address
3501 S LARAMIE AVE, CICERO, IL 60804-4503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041549959
IL
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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