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Organization

ROBERT S. GOLDBERG, MD, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT SAMUEL GOLDBERG M.D. (PHYSICIAN / OWNER)
(630) 718-0200
Entity
Organization

Contact information

Practice address
1725 W HARRISON ST, SUITE 370, CHICAGO, IL 60612-3841
(312) 942-6545
(312) 563-4004
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01606963
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
03/22/2006
Last updated
09/08/2010
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