Individual provider · Type 1 NPI

Maryan Godoy, NP

Nurse Practitioner · Oak Lawn, IL

NPI number 1851024384 Active

Practice location

4440 W 95th St Fl 8
Oak Lawn, IL 60453-2600

Call (708) 684-4200 Map

Fax (708) 520-1885

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

1701 W Superior St Fl 3, Chicago, IL 60622-5646 · (312) 666-3494
2418 W Division St, Chicago, IL 60622-2940 · (312) 666-3494

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner	363LP2300X	209025353 (IL)
Nurse Practitioner Primary	363L00000X	209025353 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1851024384

Maryan Godoy, NP's National Provider Identifier is 1851024384, issued on Jul 1, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Feb 28, 2025.