Individual
DR. BENJAMIN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 S WOLCOTT AVE, M/C 844, CHICAGO, IL 60612-3748
(312) 996-7161
(312) 996-9025
Mailing address
835 S WOLCOTT AVE, M/C 844, CHICAGO, IL 60612-3748
(312) 996-7161
(312) 996-9025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-100126
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-100126-2
—
IL
Enumeration date
05/12/2006
Last updated
07/21/2022
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