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Daniel Edward Goldenberg, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1295226132

Daniel Edward Goldenberg is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Daniel Edward Goldenberg practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Daniel Edward Goldenberg is 1295226132 and holds a License No. 125.071854 (Illinois).

The current practice location address for Daniel Edward Goldenberg is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2274 and via fax at 309-655-2565.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295226132
Provider Name
Daniel Edward Goldenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-655-2274
Fax Number
309-655-2565
Provider Enumeration Date
05/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-2274
Fax Number
309-655-2565
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637
Phone Number
309-655-2274
Fax Number
309-655-2565
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125.071854 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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