| Richard N. Goodman, Lcpc, Ltd. | |
|
7101 N Cicero Ave Ste 203 Lincolnwood IL 60712-2144 | |
| (847) 650-1995 | |
| Not Available |
| Full Name | Richard N. Goodman, Lcpc, Ltd. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7101 N Cicero Ave Ste 203, Lincolnwood, Illinois |
| Authorized Official Name and Position | Richard Goodman (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8476501995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard N. Goodman, Lcpc, Ltd. 301 Ashland Ave Highwood IL 60040-1103 Ph: (847) 650-1995 | Richard N. Goodman, Lcpc, Ltd. 7101 N Cicero Ave Ste 203 Lincolnwood IL 60712-2144 Ph: (847) 650-1995 |
| NPI Number | 1962039974 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 07/17/2024 |
| Certification Date | 06/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962039974 | NPI | - | NPPES |
| 321585345001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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