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

ERIC GOLDSTEIN

Active Sole Proprietor

Medical Physician Assistant · LIBERTYVILLE, IL

Registration Details

NPI Number
1629640404
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2021 (4.7782631431721 yrs)
Last Updated
Feb 4, 2022
License
085.008644 (IL)
Sole Proprietor
Yes

Practice Information

Address
716 S MILWAUKEE AVE
LIBERTYVILLE, IL, 600483225
Browse IL providers · Browse ZIP 60048
Phone
8473621848
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in LIBERTYVILLE, IL

Name Credential NPI
MS. LISA D'ANDREA PA-C 1891781142
MRS. ERIKA LYNCH 1417277930
VALERIE ANN TOLOMEO PA-C 1225406119
GREGORY COX 1073296091
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.