Individual
DR. JAMES R GOLDSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1640 MAPLE AVE, SUITE 1602, EVANSTON, IL 60201-3667
(847) 859-6070
Mailing address
1640 MAPLE AVE, SUITE 1602, EVANSTON, IL 60201-3667
(847) 859-6070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036051423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051423
—
IL
Enumeration date
11/08/2006
Last updated
04/29/2011
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