Harris S Goldenberg, M.D., S.C.

Organization Active NPI General Practice Physician · Northbrook, IL

NPI 1265817837 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1265817837
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
036043474 (IL)
Legal business name
HARRIS S GOLDENBERG, M.D., S.C.
Practice address
2617 Greenwood Rd
Northbrook, IL 60062-7622
Phone
(847) 530-2226
NPI assigned
Jul 24, 2015
Organization subpart
No

Authorized official

Name
Dr. Harris S Goldenberg, M.D.
Title
President
Phone
(847) 530-2226

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6016 N Nina Ave
#20
Chicago, IL 60631
Phone (773) 631-4856

18741 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X 036043474 IL Yes

Addresses

Primary practice location

2617 Greenwood Rd
Northbrook, IL 60062-7622

Mailing address

2617 Greenwood Rd
Northbrook, IL 60062-7622
Phone (847) 530-2226

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1265817837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 GREENWOOD RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627622",
            "telephone_number": "847-530-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 GREENWOOD RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627622",
            "telephone_number": "847-530-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS S GOLDENBERG, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-530-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036043474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

All providers in Northbrook, IL · General Practice Physician in Illinois

Sources for this page

Verify at the official NPI Registry.