Provider Demographics
NPI:1073700092
Name:GOCO, LEONOR CAPATI (RN)
Entity Type:Individual
Prefix:
First Name:LEONOR
Middle Name:CAPATI
Last Name:GOCO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7337 N LINCOLN AVE
Mailing Address - Street 2:SUITE 295
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1700
Mailing Address - Country:US
Mailing Address - Phone:847-673-4110
Mailing Address - Fax:847-673-0478
Practice Address - Street 1:7337 N LINCOLN AVE
Practice Address - Street 2:SUITE 295
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1700
Practice Address - Country:US
Practice Address - Phone:847-673-4110
Practice Address - Fax:847-673-0478
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health