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Contact Information

CHRISTINA N GOUGHENOUR, OTR/L
2100 S FINLEY RD
LOMBARD, IL60148-4830
 Phone: 630-495-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CHRISTINA N GOUGHENOUR · (Female)

NPI # 1093003618
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 07/17/2011
Last updated 07/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 056.005763
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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