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MARY GOODWIN
NPI 1902638596
Counselor - Mental Health in Waukegan, IL

Active since August 14, 2024
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8180 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Goodwin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GOODWIN (NPI 1902638596) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1902638596
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY GOODWIN
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3002 Grand AveWaukegan, IL 60085-2321 · (847) 377-8180
Phone(847) 377-8180
Sole ProprietorNo
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1902638596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3002 GRAND AVE, Waukegan, IL 60085
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATHENA RATILLA
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
OLIVER JADEN SANCHEZ MHP, EMT
Counselor
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8000
JONI GEER SELL
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
SUNITA GROVER
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
KATHERINE BERGSTROM MHP
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088
MICHAEL SWEENEY
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
ANGIE STEFANI
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8246
MARIAM SALEH
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (224) 237-7164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Goodwin's NPI number?

The NPI number for Mary Goodwin is 1902638596. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Mary Goodwin located?

Mary Goodwin practices at 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8180.

What is Mary Goodwin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Goodwin was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.