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Contact Information

BRUCE D GOLDENBERG, MD
5425 W LAWRENCE AVE
CHICAGO, IL60630-3404
 Phone: 773-725-7557
 Fax: 773-794-0138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRUCE D GOLDENBERG · (Male)

NPI # 1528172236
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2006
Last updated 07/29/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036069603
  • WI License # 75779
  • WI Medicaid 100325817
Hospital affiliation(s)
  • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER - (Acute Care)
    836 WEST WELLINGTON AVENUE
    CHICAGO, IL 60657
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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