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Gold Coast Internal Medicine
Specialist in Chicago, Illinois
NPI 1053403162

Gold Coast Internal Medicine is a Specialist based in Chicago, IL. Gold Coast Internal Medicine practices in Chicago, IL. The NPI Number for Gold Coast Internal Medicine is 1053403162 and holds a License No. (Illinois).

The current practice location address for Gold Coast Internal Medicine is 3000 N Halsted Street, Chicago, IL and can be reached out via phone at 773-525-1900 and via fax at 773-525-1911.

Location: 3000 N Halsted Street, Chicago, IL, 60657-5190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053403162
Provider Name
Gold Coast Internal Medicine
Credential
Provider Entity Type
Organization
Address
3000 N Halsted Street, Chicago, IL, 60657-5190
Phone Number
773-525-1900
Fax Number
773-525-1911
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1623742 01 IL BLUE CROSS BLUE SHIELD
72761 01 IL HUMANA
institution
Provider Business Practice Location Address Details
Address
3000 N Halsted Street
City
Chicago
State
Illinois
Zip
60657-5190
Phone Number
773-525-1900
Fax Number
773-525-1911
person
Provider Business Mailing Address Details
Address
3000 N Halsted Street
City
Chicago
State
Illinois
Zip
60657-5190
Phone Number
773-525-1900
Fax Number
773-525-1911
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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