Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTORIA GOODALE, PA
Active Sole ProprietorVICTORIA GOODALE, PA is a Physician Assistant healthcare provider located in SHOREWOOD, Illinois. NPI 1417502311 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SHOREWOOD, IL
Registration Details
- NPI Number
- 1417502311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2019 (6.9862417379001 yrs)
- Last Updated
- Sep 23, 2025
- License
-
085008157 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21004 S STATES LNSHOREWOOD, IL, 604048188Browse IL providers · Browse ZIP 60404
- Phone
- 8153412190
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SHOREWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN PAUL HAM | PHYSICIAN ASSISTANT | 1508961376 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.