Goldstein, Debra Chana

Goldstein, Debra Chana is an sole proprietor health care provider with primary practice located at 2732 W Chase Ave , Chicago IL 60645-1313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Goldstein, Debra Chana can be contacted via phone (773) 743-6133.

Contact Information

Primary practice address
2732 W Chase Ave Chicago IL 60645-1313
Phone: (773) 743-6133
Fax: (773) 743-6133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209.016244 Illinois

Profile Details

NPI number 1366955940
LBN Legal business name Goldstein, Debra Chana
Credentials RN, CPNP, CLS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2017
Last updated Nov 6th, 2017 - about 8 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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