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Individual

DR. ALLEN I GOLDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1018 W DIVERSEY PKWY, #2, CHICAGO, IL 60614-1317
(773) 248-8025
(773) 883-1018
Mailing address
1018 W DIVERSEY PKWY, #2, CHICAGO, IL 60614-1317
(773) 248-8025
(773) 883-1018

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-057657
IL

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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