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Individual

AUNDREA GOODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3302 VOLLMER RD, OLYMPIA FIELDS, IL 60461-1179
(708) 898-0811
Mailing address
321 FRIAR TUCK DR, SCHERERVILLE, IN 46375-1811
(773) 354-9371

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001961
IL
363LF0000X
Family Nurse Practitioner
209.012421
IL

Other

Enumeration date
04/24/2015
Last updated
07/18/2023
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