Individual
DR. LARRY SCOTT GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 E ERIE ST, SUITE 355, CHICAGO, IL 60611-2740
(312) 573-0900
(312) 573-1532
Mailing address
1 E ERIE ST STE 355, CHICAGO, IL 60611-2772
(312) 573-0900
(312) 573-1532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-059116
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059116
—
IL
Enumeration date
04/20/2006
Last updated
01/16/2012
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