Individual
JENNIFER GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9356 S COLFAX AVE, CHICAGO, IL 60617-4007
(847) 350-9326
Mailing address
9356 S COLFAX AVE, CHICAGO, IL 60617-4007
(847) 350-9326
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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