Lou Ann Goldstein PT

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

070008505 Issued in IL

Legal business name

LOU ANN GOLDSTEIN PT

Practice address

1843 W Barry Ave
Chicago, IL 60657-2042

Phone

(773) 502-7601

Fax

(773) 672-4881

NPI assigned

Jun 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lou Ann Goldstein

Title

Physical Therapist

Phone

(773) 502-7601

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1043572084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 W BARRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572042",
            "telephone_number": "773-502-7601",
            "fax_number": "773-672-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 W BARRY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572042",
            "telephone_number": "773-502-7601",
            "fax_number": "773-672-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOU ANN GOLDSTEIN PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "LOU ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "773-502-7601",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "070008505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.