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Individual

MR. BENJAMIN STUART GOLDHIRSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
835 S WOLCOTT AVE, M/C 844, CHICAGO, IL 60612-3748
(312) 224-8461
(312) 277-9575
Mailing address
835 S WOLCOTT AVE, M/C 844, CHICAGO, IL 60612-3748
(312) 224-8461
(312) 277-9575

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/31/2007
Last updated
01/13/2009
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