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Victoria Goodale
Student in an Organized Health Care Education/Training Program in Shorewood, Illinois
NPI 1417502311

Victoria Goodale is a Student in an Organized Health Care Education/Training Program based in Shorewood, IL. Victoria Goodale practices in Shorewood, IL. The NPI Number for Victoria Goodale is 1417502311 and holds a License No. (Illinois).

The current practice location address for Victoria Goodale is 21004 S States Ln, Shorewood, IL and can be reached out via phone at 815-341-2190.

Location: 21004 S States Ln, Shorewood, IL, 60404-8188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417502311
Provider Name
Victoria Goodale
Credential
Provider Entity Type
Individual
Gender
Female
Address
21004 S States Ln, Shorewood, IL, 60404-8188
Phone Number
815-341-2190
Fax Number
Provider Enumeration Date
08/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21004 S States Ln
City
Shorewood
State
Illinois
Zip
60404-8188
Phone Number
815-341-2190
Fax Number
person
Provider Business Mailing Address Details
Address
21004 S States Ln
City
Shorewood
State
Illinois
Zip
60404-8188
Phone Number
815-341-2190
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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