Individual provider · Type 1 NPI
Debra Chana Goldstein, RN, CPNP, CLS
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1366955940
Active
Practice location
2732 W Chase Ave
Chicago, IL 60645-1313
Fax (773) 743-6133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209.016244 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1366955940
Debra Chana Goldstein, RN, CPNP, CLS's National Provider Identifier is 1366955940, issued on Nov 6, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Nov 6, 2017.