Individual
GREGORY T GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1638 W SURF ST, CHICAGO, IL 60657-3599
(312) 890-3999
(847) 919-3849
Mailing address
1638 W SURF ST, CHICAGO, IL 60657-3599
(312) 890-3999
(847) 919-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036104855
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104855
—
IL
01
—
1615479
BCBS
IL
01
—
3001384006
RR MC
—
01
—
CN0576
GROUP #
—
01
—
PTAN IL 1739
MRI OF CHICAGO, LLC
IL
Enumeration date
02/17/2006
Last updated
07/07/2009
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