Roger P Goldberg
Female Pelvic Medicine and Reconstructive Surgeon
9650 Gross Point Rd Fl 3
Skokie
, Illinois 60076
Roger P Goldberg
Female Pelvic Medicine and Reconstructive Surgeon
9650 Gross Point Rd Fl 3
Skokie
, Illinois 60076
(847) 933-3531
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Roger P Goldberg
- 9650 Gross Point Rd Fl 3
- Skokie, IL
- Zip : 60076-1214
- Fax : (847) 933-3531
- Phone : (224) 251-2374
Second Address
- Roger P Goldberg
- 9650 Gross Point Rd Fl 3
- Skokie, IL
- Zip : 60076
- Fax : (847) 933-3531
- Phone : (224) 251-2374
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 036099584 | IL |
National Provider Identifier
| NPI | 1285733139 |
|---|---|
| Provider Name | Roger P Goldberg |
| First Address | Skokie, IL 60076-1214 |
| Second Address | Skokie, IL 60076 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 01/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H05021 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.