Individual
DR. RACHEL A GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1628 N BOSWORTH AVE, #1, CHICAGO, IL 60622-1417
(248) 376-5679
Mailing address
1628 N BOSWORTH AVE, #1, CHICAGO, IL 60642-1417
(248) 376-5679
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-113780
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101014818
MI
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
036-113780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113780
—
IL
05
—
114794021
—
MI
01
—
RG014818
BC/BS OF MICHIGAN
MI
Enumeration date
05/31/2006
Last updated
07/30/2010
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