Organization
GOLDENBERG & ASSOCIATES
Active
Other names
Medical Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHABBIR A SHAIKH (PRESIDENT)
(618) 233-5000
Entity
Organization
Contact information
Practice address
5003 N ILLINOIS ST STE 2, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 233-5000
(618) 233-5040
Mailing address
5003 N ILLINOIS ST STE 2, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 233-5000
(618) 233-5040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008215157
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/15/2006
Last updated
10/15/2024
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