Organization
RICHARD S. GOLDBERG, M.D., LTD.
Active
Organization
RICHARD S. GOLDBERG, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GOLDBERG MD (PRESIDENT)
(708) 814-6600
Entity
Organization
Contact information
Practice address
8311 ROOSEVELT RD, OPTIONAL, FOREST PARK, IL 60130-2529
(708) 814-6600
(630) 920-9095
Mailing address
8311 ROOSEVELT RD, OPTIONAL, FOREST PARK, IL 60130-2529
(708) 814-6600
(630) 920-9095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036056868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056868
—
IL
Enumeration date
01/11/2011
Last updated
01/11/2011
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