Goldstein, Jordan Louis
Goldstein, Jordan Louis is an individual health care provider with primary practice located at 1550 N Northwest Hwy Suite 220, Park Ridge IL 60068-1411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Goldstein, Jordan Louis can be contacted via phone (847) 824-3198.Contact Information
Primary practice address
1550 N Northwest Hwy Suite 220
Park Ridge IL 60068-1411
Phone: (847) 824-3198
Fax: (847) 298-7155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME105006 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036123920 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 060734 | Georgia |
Profile Details
| NPI number | 1255591491 |
|---|---|
| LBN Legal business name | Goldstein, Jordan Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Mar 3rd, 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 | 1255591491 | NPPES |
| Illinois | Other | 202735 | MEDICARE PTAN LOCALITY 15 |
| Illinois | Other | 215827 | MEDICARE PTAN LOCALITY 15 |
| Illinois | Other | 604530 | MEDICARE PTAN LOCALITY 15 |
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