Individual
MS. DEBORAH GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4150
(312) 864-9906
Mailing address
4135 N PONTIAC AVE, CHICAGO, IL 60634-1042
(773) 625-6985
(312) 864-9906
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
041-239547
IL
363LF0000X
Family Nurse Practitioner
Primary
209-000191
IL
Other
Enumeration date
03/26/2007
Last updated
04/23/2021
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