Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 036134502 | IL |
NPI | 1023339033 |
---|---|
Provider Name | Esteban E Golombievski |
First Address | Carbondale, IL 62902-3988 |
Second Address | Carbondale, IL 62901-1474 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 07/04/2021 |