Goldwater Care Clinton LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Clinton, IL

NPI 1376352518 · NPPES record last updated Sep 25, 2025

Key facts

NPI
1376352518
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
GOLDWATER CARE CLINTON LLC
Practice address
1 Park LN W
Clinton, IL 61727-2637
Phone
(217) 935-8500
NPI assigned
Jan 2, 2025
Organization subpart
No

Authorized official

Name
Jennifer Spector
Title
VP of Revenue Cycle Management
Phone
(847) 262-3800

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Ability Network (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

1 Park LN W
Clinton, IL 61727-2637

Mailing address

4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800

Other names

  • Goldwater Care Clinton Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Clinton, IL

All providers in Clinton, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.