Individual provider · Type 1 NPI

Ellen Goldberg

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1063115624 Active

Practice location

924 E 57th St Ste 104
Chicago, IL 60637-1455

Call (773) 702-1939 Map

Other practice locations

  • 924 E 57th St Ste 104, Chicago, IL 60637-1455

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063115624

Ellen Goldberg's National Provider Identifier is 1063115624, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 23, 2023.