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
Fax: (847) 298-7155
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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