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1518498971
RAY GOODWIN
CHICAGO, IL
NPI
1518498971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: IL 209015191)
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
Mr. RAY GOODWIN FNP
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-2000
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Mailing Address
Mr. RAY GOODWIN FNP
4759 S LOREL AVE
CHICAGO, IL 60638-1818
Phone number: 575-649-6771
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