Individual
POOMANI GOVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1620 W HARRISON STREET, POB 970, CHICAGO, IL 60612
(312) 563-3447
Mailing address
1620 W HARRISON STREET, POB 970, CHICAGO, IL 60612-3801
(312) 563-3447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.445663
IL
163WP2201X
Ambulatory Care Registered Nurse
Primary
041.445663
IL
363LF0000X
Family Nurse Practitioner
209.034439
IL
363LP2300X
Primary Care Nurse Practitioner
209.034439
IL
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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