MEDICARE: RHONDA GOSHAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1457981573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA GOSHAY

Provider Business Mailing Address
First Line	:	8765 W HIGGINS RD STE 450
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-4172
Country	:	US
Telephone Number	:	773-391-3726
Fax Number	:

Provider Business Practice Location Address
First Line	:	4936 HIGHLAND AVE
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-3628
Country	:	US
Telephone Number	:	773-391-3726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2020
Last Update Date	:	01/16/2020

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Directions to “ RHONDA GOSHAY ” Practice Location

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