STUART LEWIS GOLDMAN M.D. NPI 1134157480

NPI Information

Stuart Lewis Goldman, M.D. is an adult medicine family medicine in Park Ridge, IL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Stuart Lewis Goldman, M.D. NPI is 1134157480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1775 BALLARD RD
PARK RIDGE, IL
ZIP 60068-005
Phone: (847) 318-6020
Fax: (847) 318-2712

The NPI 1134157480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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