Individual
DR. SCOTT JASON GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 N LAKE SHORE DR, STE 123, CHICAGO, IL 60611-4546
(312) 642-5515
(312) 642-0753
Mailing address
1242 S FEDERAL ST, D, CHICAGO, IL 60605-3388
(312) 663-6030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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