Goodman Graham, Lavette

Goodman Graham, Lavette is an sole proprietor health care provider with primary practice located at 1133 South Blvd Apt 605 , Oak Park IL 60302-3278. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Goodman Graham, Lavette can be contacted via phone (201) 616-8181.

Contact Information

Primary practice address
1133 South Blvd Apt 605 Oak Park IL 60302-3278
Phone: (201) 616-8181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 041.472420 Illinois
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 041.472420 Illinois
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041.472420 Illinois

Profile Details

NPI number 1740915677
LBN Legal business name Goodman Graham, Lavette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2022
Last updated Jul 24th, 2022 - about 2 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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