Goldman, Jennifer G

Goldman, Jennifer G is an individual health care provider with primary practice located at 355 E Erie St , Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Goldman, Jennifer G can be contacted via phone (312) 238-1000.

Contact Information

Primary practice address
355 E Erie St Chicago IL 60611
Phone: (312) 238-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036106762 Illinois

Profile Details

NPI number 1366428724
LBN Legal business name Goldman, Jennifer G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 25th, 2022 - about 3 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 1366428724 NPPES
Illinois MEDICAID 036106762

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