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
-
Elizabeth Carazo, M.D.
-
Carolyn J Hildreth, M.D.
-
Angelo B Reyes, M.D.
-
Susan J Riegg, MD
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
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
{
"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
- Harlan W. Haimes, D.D.S., LTD.
- Alyson Harlan
- Harmony Mental Wellness LLC
- Harmony Mental Wellness LLC
- Harold J. Lasky, M.D. LTD.
- Autumn Harris
- Jean Harris
- Rebecca Harris
- Crystal Hart
- Shylah Hartnett
All providers in Northbrook, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.