Organization
DR JOSEPH B GOLDSTEIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH B GOLDSTEIN DO (PRESIDENT)
(847) 824-1022
Entity
Organization
Contact information
Practice address
1556 S RIVER ROAD, DES PLAINES, IL 60018-1743
(847) 824-1022
(847) 824-5971
Mailing address
1556 S RIVER ROAD, DES PLAINES, IL 60018-1743
(847) 824-1022
(847) 824-5971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036052069
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021606387
BCBS
IL
01
—
0021609251
BCBS
IL
05
—
036052069
—
IL
Enumeration date
02/02/2007
Last updated
06/20/2008
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