Individual provider · Type 1 NPI

Diana Goldak, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Northbrook, IL

NPI number 1154944478 Active

Practice location

3855 N Parkway Dr Apt 3A
Northbrook, IL 60062-7218

Call (847) 239-3654 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X238000628 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1154944478

Diana Goldak, PHYSICIAN ASSISTANT's National Provider Identifier is 1154944478, issued on May 20, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Northbrook, IL. The record was last updated on Jun 3, 2020.