Individual
CATHERINE MARY GOODALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-3000
Mailing address
1155 SUMNER CIR, GURNEE, IL 60031-4022
(847) 244-4671
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.007313
IL
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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