Individual
BENJAMIN BRYAN GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
9923 TANGLEWOOD CT, MUNSTER, IN 46321-3840
(219) 680-0673
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-155197
IL
Other
Enumeration date
03/20/2018
Last updated
07/01/2021
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