Individual
MARY JOSEPHINE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 534-3278
(847) 535-8590
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 534-3278
(847) 535-8590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209029014
IL
Other
Enumeration date
11/13/2023
Last updated
04/24/2024
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