Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JULIE DIANE GOUGH, D.T.
Active Sole ProprietorMRS. JULIE DIANE GOUGH, D.T. is a Specialist healthcare provider located in ASHMORE, Illinois. NPI 1518170554 is currently active in the NPPES registry. Verify at CMS.
Specialist · ASHMORE, IL
Registration Details
- NPI Number
- 1518170554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2007 (19.257427990144 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
915 S IOWA STASHMORE, IL, 619129543Browse IL providers · Browse ZIP 61912
- Phone
- 2172328695
- Fax
- 2173498431
- Primary Specialty
-
Specialist
174400000X
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.