Individual
DR. IRENE MICHELE GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15614 S HARLEM AVE, UNIT F, ORLAND PARK, IL 60462-4402
(855) 707-8346
(708) 371-4569
Mailing address
4400 W 95TH ST, SUITE 205, OAK LAWN, IL 60453-2654
(708) 346-4040
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036101014
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101014
—
IL
Enumeration date
05/04/2006
Last updated
10/28/2014
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