Cynthia L Goldrick P.A.-C

NPI 1528361268 - Physician Assistant - 363AS0400X

NPI Details
NPI 1528361268
Gender Female
Enumeration Date 12/20/2010
Last Updated 12/20/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
581 WILLIAM LATHAM DR
SUITE 103
BOURBONNAIS IL, 60914-2317, US
Phone (815) 929-9700
Fax (815) 929-9797
Business Location
581 WILLIAM LATHAM DR
SUITE 103
BOURBONNAIS IL, 60914-2317, US
Phone (815) 929-9700
Fax (815) 929-9797
Toxanomy
Taxonomy Code 363AS0400X
License State Illinois
License Number 085000881
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According to our database, Cynthia L Goldrick P.A.-C NPI is 1528361268, taxonomy code is 363AS0400X and license number is 085000881, license state is located at Illinois. Cynthia L Goldrick P.A.-C physically located at 581 William Latham Dr, Bourbonnais IL, 60914-2317. NPI Number Cynthia L Goldrick P.A.-C has the Individual type.

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1528361268 NPI number is provided on an as is basis without warranty of any kind. 1528361268 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia L Goldrick P.A.-C are for informational purposes only.