Individual
BRUCE J GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 BARRINGTON RD, STE 205, HOFFMAN ESTATES, IL 60169-1063
(630) 480-0490
(630) 580-9641
Mailing address
1059 W SKYLARK DR, PALATINE, IL 60067-7058
(630) 480-0490
(630) 580-9641
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-072948
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072948
—
IL
Enumeration date
07/22/2005
Last updated
01/25/2017
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