Individual
GENA GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4331 LINCOLN HWY, MATTESON, IL 60443-2404
(708) 748-1951
Mailing address
4331 LINCOLN HWY, MATTESON, IL 60443-2404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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