Organization · NPI-2

Alvin Goldberg MD Sc

Family Medicine · Chicago, IL

NPI number1609914423
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1609914423
Entity type
Organization (NPI-2)
Legal business name
Alvin Goldberg MD Sc
Organization subpart
No
Enumeration date
Feb 2, 2007
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine042617101ILYes
208100000X Physical Medicine & Rehabilitation042617101IL
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine042617101IL

Practice location

1751 W 95th St
Chicago, IL 60643

Phone 773-239-1400 · Fax 773-239-0400

Mailing address

1751 W 95th St
Chicago, IL 60643

Phone 773-239-1400 · Fax 773-239-0400

Authorized official

Alvin A Goldberg
Owner Medical Director
7732391400

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