Jennifer Gooch
Individual provider Active NPI Driver · Chicago, IL
NPI 1639006604 · NPPES record last updated May 5, 2026
Key facts
- NPI
- 1639006604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 9356 S Colfax Ave
Chicago, IL 60617-4007 - Phone
- (847) 350-9326
- NPI assigned
- May 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | IL | Yes |
Addresses
Primary practice location
9356 S Colfax Ave
Chicago, IL 60617-4007
Mailing address
9356 S Colfax Ave
Chicago, IL 60617-4007
Phone (847) 350-9326
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.