| Melvin J Goldstein, M.d.,s.c. | |
|
676 N Saint Clair St Suite 1525 Chicago IL 60611-2927 | |
| (312) 337-1556 | |
| (312) 266-0478 |
| Full Name | Melvin J Goldstein, M.d.,s.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 676 N Saint Clair St, Chicago, Illinois |
| Authorized Official Name and Position | Melvin J Goldstein (PRESIDENT) |
| Authorized Official Contact | 3123371556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melvin J Goldstein, M.d.,s.c. Po Box 388320 Chicago IL 60638-8320 Ph: (773) 767-4600 | Melvin J Goldstein, M.d.,s.c. 676 N Saint Clair St Suite 1525 Chicago IL 60611-2927 Ph: (312) 337-1556 |
| NPI Number | 1023035938 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023035938 | NPI | - | NPPES |
| 036038943 | Medicaid | IL | |
| 111528598 | Other | RAILROAD MEDICARE | |
| 2160104234 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036038943 (Illinois) | Primary |
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