Active NPI
Melvin J Goldstein, M.D.,S.C.
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1023035938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036038943
- Legal business name
- MELVIN J GOLDSTEIN, M.D.,S.C.
- Practice address
- 676 N Saint Clair St
Suite 1525
Chicago, IL 60611-2927 - Phone
- (312) 337-1556
- Fax
- (312) 266-0478
- NPI assigned
- Jul 16, 2006
- Last updated
- Aug 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvin J Goldstein, M.D.
- Title
- President
- Phone
- (312) 337-1556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036038943 | IL | Primary |
Addresses
Primary practice location
676 N Saint Clair St
Suite 1525
Chicago, IL 60611-2927
Mailing address
PO Box 388320
Chicago, IL 60638-8320
Phone (773) 767-4600
National Provider Directory
National Provider DirectoryLocations
5505 W 79TH St Ste 400
Burbank, IL 60459
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1376531400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251244800000",
"number": "1023035938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388320",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606388320",
"telephone_number": "773-767-4600",
"fax_number": "773-767-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "SUITE 1525",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112927",
"telephone_number": "312-337-1556",
"fax_number": "312-266-0478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELVIN J GOLDSTEIN, M.D.,S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2009-08-26",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-337-1556",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036038943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.