Individual provider · Type 1 NPI

Eric Goldstein

Medical Physician Assistant · Libertyville, IL

NPI number 1629640404 Active

Practice location

716 S Milwaukee Ave
Libertyville, IL 60048-3225

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085.008644 (IL)

Medical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1629640404

Eric Goldstein's National Provider Identifier is 1629640404, issued on Jul 12, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Libertyville, IL. The record was last updated on Feb 4, 2022.