Individual
DANIEL GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1871 N CLYBOURN AVE, SUITE 224, CHICAGO, IL 60614-4947
(773) 454-1488
Mailing address
2151 W MCLEAN AVE, APT 2, CHICAGO, IL 60647-4524
(773) 454-1488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149012174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636694
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/28/2007
Last updated
07/08/2007
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