Individual
DONALD GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-5941
Mailing address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004558
IL
Other
Enumeration date
11/28/2012
Last updated
01/19/2015
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