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Contact Information

CYNTHIA L GOLDRICK, P.A.-C
581 WILLIAM LATHAM DR
SUITE 103
BOURBONNAIS, IL60914-2317
 Phone: 815-929-9700
 Fax: 815-929-9797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CYNTHIA L GOLDRICK · (Female)

NPI # 1528361268
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 12/20/2010
Last updated 12/20/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085000881
  • IL Medicaid 085000881
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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