Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-080037 | IL |
N | 111NI0900X | Internist | 036-080037 | IL |
Y | 207RH0002X | Hospice and Palliative Medicine | 036080037 | IL |
NPI | 1164432191 |
---|---|
Provider Name | Dr. Julie Goldstein |
First Address | Chicago, IL 60657-5147 |
Second Address | Chicago, IL 60657-5147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 20/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E73325 | (02) | IL |