Individual
KAREN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E 55TH ST, CHICAGO, IL 60615
(773) 702-0660
Mailing address
800 E 55TH ST, CHICAGO, IL 60615-4906
(773) 702-0660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036077266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077266
—
IL
Enumeration date
01/09/2007
Last updated
05/31/2018
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