# GOLDENBERG & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Surgical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679599104
- **Authorized official:** SHABBIR A SHAIKH (PRESIDENT)
- **Authorized official phone:** (618) 233-5000

## Contact information

- **Practice address:** 5003 N ILLINOIS ST STE 2, FAIRVIEW HEIGHTS, IL 62208-3419
- **Practice address phone:** (618) 233-5000
- **Practice address fax:** (618) 233-5040
- **Mailing address:** 5003 N ILLINOIS ST STE 2, FAIRVIEW HEIGHTS, IL 62208-3419
- **Mailing address phone:** (618) 233-5000
- **Mailing address fax:** (618) 233-5040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 10/15/2024