Individual
MICHAEL J. GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, DIV. OF GASTROENTEROLOGY RM G208, EVANSTON, IL 60201-1718
(847) 657-1900
(847) 733-5041
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036053756
IL
Other
Enumeration date
07/04/2006
Last updated
10/13/2020
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