Active NPI
Mohamad Goldust Jouybari
- Dermatology Physician
- Chicago, IL
National Provider Identifier
1205745262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 113.000100
- Practice address
- 808 S Wood St
Chicago, IL 60612-7300 - Phone
- (312) 996-6966
- NPI assigned
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 113.000100 | IL | Primary |
Addresses
Primary practice location
808 S Wood St
Chicago, IL 60612-7300
Mailing address
808 S Wood St
Chicago, IL 60612-7300
Phone (312) 996-6966
Other names 1
- Mohamad Goldust
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1205745262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S WOOD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127300",
"telephone_number": "312-996-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S WOOD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127300",
"telephone_number": "312-996-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDUST JOUYBARI",
"first_name": "MOHAMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "113.000100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOHAMAD",
"last_name": "GOLDUST",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.