IndividualActive
Michelle Gosa
NPI 1114296415 · Pharmacist · Broadview, IL
Provider details
- NPI number
- 1114296415
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 051290167 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2329 S 24th Ave
Broadview, IL 60155-3822
Phone: (708) 223-8848
Approximate (ZIP-level) locationGet directions
Mailing address
2329 S 24th Ave
Broadview, IL 60155-3822
Registry dates
- Enumerated
- 2011-12-16
- Last updated
- 2014-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.