Individual provider · Type 1 NPI
Stacey R. Goldston
Specialist · Chicago Heights, IL
NPI number
1215274576
Active
Practice location
240 N. Sherry Lane
Chicago Heights, IL 60411
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 1215274576
Stacey R. Goldston's National Provider Identifier is 1215274576, issued on Jan 7, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago Heights, IL. The record was last updated on Jan 7, 2013.