Individual
DR. SAMUEL I GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 DEMPSTER ST, SUITE 555, PARK RIDGE, IL 60068-1186
(847) 698-5500
(847) 698-0226
Mailing address
1875 DEMPSTER ST, SUITE 555, PARK RIDGE, IL 60068-1186
(847) 698-5500
(847) 698-0226
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036086400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086400
—
IL
Enumeration date
07/27/2006
Last updated
12/20/2021
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