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

Elise J Goodwin

Individual provider Registered Nurse · NPI 1639905458

Elise J Goodwin is a Certified Registered Nurse Anesthetist (CRNA) in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (312) 996-4020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209030847 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041438590 (IL)

Record details

NPI number1639905458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address1740 W Taylor St, Chicago, IL 60612-7232

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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