Quinn Goodwin
Individual provider Active NPI Speech-Language Pathologist · Glenview, IL
NPI 1982128021 · NPPES record last updated Jul 31, 2017
Key facts
- NPI
- 1982128021
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242004563 (IL)
- Practice address
- 41 Waukegan Rd.
Glenview, IL 60025 - Phone
- (847) 707-6744
- NPI assigned
- Jul 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242004563 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Steps Pediatric Physical Therapy PC | Past | Accepting new patients | |
| Little Steps Pediatric Physical Therapy, PC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242004563 | IL | Yes |
Addresses
Primary practice location
41 Waukegan Rd.
Glenview, IL 60025
Mailing address
41 Waukegan Rd
Glenview, IL 60025-5154
Other providers in Glenview, IL
- Bianca A Gonzalez
- Erin Jacquelin Gonzalez
- Rachel Goode
- Dusty J Goodman
- Paul L. Goodman
- Tanya Ann Goralczyk
- Amanda Gordon
- Debra Ann Gordon
- Johanna R. Gordon
- Matthew Gordon I
All providers in Glenview, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2017. 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.