Organization · Type 2 NPI

Goldie Medical LLC

Nurse Practitioner · Chicago, IL

NPI number 1649091687 Active

Practice location

8700 W Evelyn Ln Apt 301
Chicago, IL 60656-2384

Call (773) 882-1505 Map

Mailing address

222 S Prospect Ave Fl 3
Park Ridge, IL 60068-4037

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649091687

Goldie Medical LLC's National Provider Identifier is 1649091687, issued on Oct 22, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 29, 2025.