Goldberg, Marlyn F

Goldberg, Marlyn F is an individual health care provider with primary practice located at 152 N Addison Ave Ste 100 , Elmhurst IL 60126-2821. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Goldberg, Marlyn F can be contacted via phone (630) 833-9621.

Contact Information

Primary practice address
152 N Addison Ave Ste 100 Elmhurst IL 60126-2821
Phone: (630) 833-9621
Fax: (630) 833-9465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-096240 Illinois

Profile Details

NPI number 1629066519
LBN Legal business name Goldberg, Marlyn F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Aug 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629066519 NPPES
Illinois Other 036088212 LICENSE NUMBER
Illinois Other 05626127 LICENSE NUMBER
Illinois MEDICAID 0360962402 LICENSE NUMBER
Illinois Other DA3012 LICENSE NUMBER
Illinois Other P00048835 LICENSE NUMBER

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