Organization
BRUCE GOLDBERG MD S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE J GOLDBERG M.D. (OWNER)
(630) 480-0490
Entity
Organization
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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/22/2005
Last updated
01/25/2017
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