Individual
DR. CYNTHIA GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 167TH ST, SUITE 700, CALUMET CITY, IL 60409-5457
(708) 832-0947
(708) 862-8613
Mailing address
PO BOX 1159, SOUTH HOLLAND, IL 60473
(708) 832-0947
(708) 862-8613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036111093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111093
—
IL
Enumeration date
09/27/2005
Last updated
06/10/2009
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