Organization · Type 2 NPI
Gold Coast Internal Medicine
Specialist · Chicago, IL
NPI number
1053403162
Active
Practice location
3000 N Halsted Street, Suite 303
Chicago, IL 60657-5190
Fax (773) 525-1911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1053403162
Gold Coast Internal Medicine's National Provider Identifier is 1053403162, issued on Sep 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.