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Individual

ANTHONY E GOLDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
11921 S CICERO AVE, ALSIP, IL 60803-2320
(708) 579-4900
Mailing address
11921 S CICERO AVE, ALSIP, IL 60803-2320
(708) 579-4900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003163
IL

Other

Enumeration date
05/14/2008
Last updated
05/01/2020
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