Organization
LOU ANN GOLDSTEIN PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOU ANN GOLDSTEIN (PHYSICAL THERAPIST)
(773) 502-7601
Entity
Organization
Contact information
Practice address
1843 W BARRY AVE, CHICAGO, IL 60657-2042
(773) 502-7601
(773) 672-4881
Mailing address
1843 W BARRY AVE, CHICAGO, IL 60657-2042
(773) 502-7601
(773) 672-4881
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
070008505
IL
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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