Goldberg, Richard Stuart

Goldberg, Richard Stuart is an sole proprietor health care provider with primary practice located at 8311 Roosevelt Rd , Forest Park IL 60130-2529. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Goldberg, Richard Stuart can be contacted via phone (708) 814-6600.

Contact Information

Primary practice address
8311 Roosevelt Rd Forest Park IL 60130-2529
Phone: (708) 814-6600
Fax: (708) 209-2283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 036056868 Illinois
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 036056868 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036056868 Illinois

Profile Details

NPI number 1356431720
LBN Legal business name Goldberg, Richard Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Oct 6th, 2010 - about 15 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 1356431720 NPPES
Illinois MEDICAID 363148505-60611-01

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