Most Relevant Information
Provider Data
| NPI Number: | 1003253568 |
| Provider Name: | NEDRA GOLDMAN R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041.405810 |
Most Important Dates
| Enumeration Date: | 05/23/2013 |
| Last Updated: | 05/23/2013 |
Provider Practice Location
2620 E 92ND ST
CHICAGO
IL
606174143
Practice Location Phone/Fax
| Phone: | 7739841384 |
| Fax: |
Provider Mailing Location
2620 E 92ND ST
CHICAGO
IL
606174143
Provider Mailing Phone/Fax
| Phone: | 7739841384 |
| Fax: |