Gooden, Aundrea
Gooden, Aundrea is an sole proprietor health care provider with primary practice located at 3302 Vollmer Rd , Olympia Fields IL 60461-1179. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gooden, Aundrea can be contacted via phone (708) 898-0811.Contact Information
Primary practice address
3302 Vollmer Rd
Olympia Fields IL 60461-1179
Phone: (708) 898-0811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 277001961 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.012421 | Illinois |
Profile Details
| NPI number | 1689061855 |
|---|---|
| LBN Legal business name | Gooden, Aundrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2015 |
| Last updated | Jul 18th, 2023 - about 3 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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