Individual
ANDREAH W GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 SOUTH MARYLAND, CHICAGO, IL 60637
(773) 702-6842
Mailing address
4144 WEST BARRY AVENUE #1, CHICAGO, IL 60641-5429
(773) 968-2560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041308765
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209008427
IL
Other
Enumeration date
10/18/2010
Last updated
02/04/2022
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