Personalized Healthcare | |
767 Park Ave W Suite 330 Highland Park IL 60035-2400 | |
(847) 433-1709 | |
(847) 681-8251 |
Full Name | Personalized Healthcare |
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Speciality | Internal Medicine |
Location | 767 Park Ave W, Highland Park, Illinois |
Authorized Official Name and Position | Barry R. Goldberg (MD/PHYSICIAN) |
Authorized Official Contact | 8474331709 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Personalized Healthcare 767 Park Avenue Suite 330 Highland Park IL 60035-3109 Ph: (847) 433-1709 | Personalized Healthcare 767 Park Ave W Suite 330 Highland Park IL 60035-2400 Ph: (847) 433-1709 |
NPI Number | 1659528784 |
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Provider Enumeration Date | 08/20/2008 |
Last Update Date | 08/20/2009 |
Medicare PECOS PAC ID | 3870669955 |
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Medicare Enrollment ID | O20080915000297 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659528784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036061202 (Illinois) | Primary |
Provider Name | Barry Richard Goldberg |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760450548 PECOS PAC ID: 1052305513 Enrollment ID: I20070919000676 |
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