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Contact Information

MARLYN F GOLDBERG, MD
152 N ADDISON AVE STE 100
ELMHURST, IL60126-2821
 Phone: 630-833-9621
 Fax: 630-833-9465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MARLYN F GOLDBERG · (Female)

NPI # 1629066519
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2005
Last updated 08/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-096240
  • IL Medicaid 0360962402
  • IL Other 05626127 BLUE CROSS BLUE SHIELD
  • IL Other 036088212 LICENSE NUMBER
  • IL Other DA3012 RAILROAD GROUP NUMBER
  • IL Other P00048835 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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