Melvin J Goldstein, M.D.,S.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036038943 Issued in IL

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036038943",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "111528598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2160104234",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Nicolette Melton
• Cheryl Neuman Meltzer, LCSW
• Laura Alexandra Meltzer, M.D.
• Rebecca Sara Meltzer, MD
• Melvin C Bunn MD SC
• Melvin K Roseman MD SC
• Amy Michelle Melvin, NP-C
• Brittany D Melvin, MD
• Melissa Lynne Melzer, LPC
• Omeed Memar, MD

• Gastroenterology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Gastroenterology Physician in Illinois

• 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.

Verify at the official NPI Registry.