Provider Demographics
NPI:1659580009
Name:ALLGOOD, NICOLE RUTH (MT-BC)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:RUTH
Last Name:ALLGOOD
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E QUINCY STREET
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1824
Mailing Address - Country:US
Mailing Address - Phone:630-306-4932
Mailing Address - Fax:
Practice Address - Street 1:211 E QUINCY STREET
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1824
Practice Address - Country:US
Practice Address - Phone:630-306-4932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist