Goodwin, Vicki L.

Goodwin, Vicki L. is an sole proprietor health care provider with primary practice located at 4636 N Ravenswood Ave Suite 201, Chicago IL 60640-4581. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goodwin, Vicki L. can be contacted via phone (847) 422-3565.

Contact Information

Primary practice address
4636 N Ravenswood Ave Suite 201 Chicago IL 60640-4581
Phone: (847) 422-3565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 041-187397 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.012290 Illinois

Profile Details

NPI number 1649464199
LBN Legal business name Goodwin, Vicki L.
Credentials RN, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2007
Last updated Jun 13th, 2011 - about 13 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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