Individual
RICHARD STUART GOLDBERG
Active
Individual
RICHARD STUART GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036056868
IL
2084F0202X
Forensic Psychiatry Physician
036056868
IL
2084P0800X
Psychiatry Physician
Primary
036056868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363148505-60611-01
—
IL
Enumeration date
10/13/2006
Last updated
10/06/2010
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