Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chetmira E Gray Goggins

Individual provider Early Intervention Provider Agency · NPI 1205795390

Chetmira E Gray Goggins is an Early Intervention Provider Agency in Park Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

539 Homan Ave
Park Forest, IL 60466-1068
Phone: (773) 297-9568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (IL)

Record details

NPI number1205795390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address539 Homan Ave, Park Forest, IL 60466-1068