Goldrick, Cynthia L

Goldrick, Cynthia L is an individual health care provider with primary practice located at 581 William Latham Dr Suite 103, Bourbonnais IL 60914-2317. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Goldrick, Cynthia L can be contacted via phone (815) 929-9700.

Contact Information

Primary practice address
581 William Latham Dr Suite 103 Bourbonnais IL 60914-2317
Phone: (815) 929-9700
Fax: (815) 929-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085000881 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085000881 Illinois

Profile Details

NPI number 1528361268
LBN Legal business name Goldrick, Cynthia L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2010
Last updated Dec 20th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528361268 NPPES
Illinois MEDICAID 085000881

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