Individual
JESSICA MARIE GOODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
779 W ADAMS ST, CHICAGO, IL 60661-3509
(312) 382-8308
Mailing address
1618 N CLAREMONT AVE, CHICAGO, IL 60647-5366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011740
IL
Other
Enumeration date
12/18/2025
Last updated
01/05/2026
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