Goldstein, Irene Michele

Goldstein, Irene Michele is an individual health care provider with primary practice located at 15614 S Harlem Ave Unit F, Orland Park IL 60462-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Goldstein, Irene Michele can be contacted via phone (855) 707-8346.

Contact Information

Primary practice address
15614 S Harlem Ave Unit F Orland Park IL 60462-4402
Phone: (855) 707-8346
Fax: (708) 371-4569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036101014 Illinois

Profile Details

NPI number 1932157104
LBN Legal business name Goldstein, Irene Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 28th, 2014 - about 10 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 1932157104 NPPES
Illinois MEDICAID 036101014

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