Individual
MRS. DEBRA CHANA GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP, CLS
Contact information
Practice address
2732 W CHASE AVE, CHICAGO, IL 60645-1313
(773) 743-6133
(773) 743-6133
Mailing address
2732 W CHASE AVE, CHICAGO, IL 60645-1313
(773) 743-6133
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.016244
IL
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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