Individual
GARY W. GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
850 BROOK FOREST AVE, UNIT F, SHOREWOOD, IL 60404-8513
(815) 725-4918
(815) 725-4955
Mailing address
850 BROOK FOREST AVE, UNIT F, SHOREWOOD, IL 60404-8513
(815) 725-4918
(815) 725-4955
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4521533
BC/BS OF IL
IL
Enumeration date
01/24/2006
Last updated
03/20/2008
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