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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANA GOLDAK, PHYSICIAN ASSISTANT

Active Sole Proprietor

DIANA GOLDAK, PHYSICIAN ASSISTANT is a Surgical Physician Assistant healthcare provider located in NORTHBROOK, Illinois. NPI 1154944478 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · NORTHBROOK, IL

Registration Details

NPI Number
1154944478
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2020 (6.1939791070601 yrs)
Last Updated
Jun 3, 2020
License
238000628 (IL)
Sole Proprietor
Yes

Practice Information

Address
3855 N PARKWAY DR APT 3A
NORTHBROOK, IL, 600627218
Browse IL providers · Browse ZIP 60062
Phone
8472393654
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in NORTHBROOK, IL

Name Credential NPI
SERGEY EFIM GLIKIN C-SA 1407058233
CALEB ISAAC STEIN PA-C 1154013662
MARY ELIZABETH ETERNO PA-C 1962266957
FARHEEN KOTHAWALA PA-C 1912759630
PAIGE GKEKAS PA-C 1487496477
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.