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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356431720 | NPPES |
Illinois | MEDICAID | 363148505-60611-01 |
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