Goldstein, Mark Lloyd
Goldstein, Mark Lloyd is an individual health care provider with primary practice located at 1893 Sheridan Rd Suite 215, Highland Park IL 60035. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Goldstein, Mark Lloyd can be contacted via phone (847) 926-0390.Contact Information
Primary practice address
1893 Sheridan Rd Suite 215
Highland Park IL 60035
Phone: (847) 926-0390
Fax: (847) 498-8922
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 712066 | Illinois |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 712066 | Illinois |
Profile Details
NPI number | 1154424471 |
---|---|
LBN Legal business name | Goldstein, Mark Lloyd |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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