Individual
DR. ZACHARY HERSHEL GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N RANDALL RD, ELGIN, IL 60123-7876
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036162774
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
036162774
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
4351048842
MI
390200000X
Student in an Organized Health Care Education/Training Program
11019225A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11019225A
—
IN
Enumeration date
06/14/2017
Last updated
04/06/2023
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