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Individual

ANN M. GOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-A

Contact information

Practice address
16532 OAK PARK AVE, STE 202, TINLEY PARK, IL 60477-1918
(708) 444-2900
(708) 444-7760
Mailing address
2606 WALLACE DR, FLOSSMOOR, IL 60422-1238
(708) 305-5121
(708) 798-7980

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000611
IL
231H00000X
Audiologist
23002416A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
326971
INACTIVE MEDICARE NUMBER
IL
Enumeration date
12/05/2008
Last updated
12/05/2008
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