Goren, Matthew Brent

Goren, Matthew Brent is an sole proprietor health care provider with primary practice located at Two Prudential Plaza Suite 3175, Chicago IL 60601-6719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goren, Matthew Brent can be contacted via phone (312) 332-2262.

Contact Information

Primary practice address
Two Prudential Plaza Suite 3175 Chicago IL 60601-6719
Phone: (312) 332-2262
Fax: (312) 819-1316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Illinois

Profile Details

NPI number 1891868709
LBN Legal business name Goren, Matthew Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1891868709 NPPES
Illinois Other 0001604949 BLUE SHIELD PROVIDER NO

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