Individual
DR. STEVEN JAY GOULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E OGDEN AVE, 200, HINSDALE, IL 60521-2469
(630) 325-6647
(630) 325-4500
Mailing address
500 E OGDEN AVE, 200, HINSDALE, IL 60521-2469
(630) 325-6647
(630) 325-4500
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036-108689
IL
207NS0135X
Procedural Dermatology Physician
036-108689
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36108689
—
IL
01
—
K09943
MEDICARE
IL
Enumeration date
12/29/2005
Last updated
09/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us