Goudzwaard, Carmel Lynn
Goudzwaard, Carmel Lynn is an individual health care provider with primary practice located at 25 N. Winfield Rd. , Winfield IL 60190-1295. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Goudzwaard, Carmel Lynn can be contacted via phone (630) 933-4700.Contact Information
Primary practice address
25 N. Winfield Rd.
Winfield IL 60190-1295
Phone: (630) 933-4700
Fax: (630) 933-4427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036123732 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036123732 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036123732 | Illinois |
Profile Details
| NPI number | 1851547194 |
|---|---|
| LBN Legal business name | Goudzwaard, Carmel Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Apr 9th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851547194 | NPPES |
| Illinois | MEDICAID | 036123732 | |
| Illinois | Other | 206147 | |
| Illinois | Other | 206147112 | |
| Illinois | Other | P01144148 |
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