Goldin Dermatology LLC
Organization Active NPI Specialist · Skokie, IL
NPI 1487063335 · NPPES record last updated Aug 5, 2014
Key facts
- NPI
- 1487063335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- GOLDIN DERMATOLOGY LLC
- Practice address
- 4709 Golf Rd Ste 1000
Skokie, IL 60076-1260 - Phone
- (847) 677-2080
- Fax
- (847) 677-2098
- NPI assigned
- Aug 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Harry Mark Goldin, MD
- Title
- Practice Owner
- Phone
- (847) 677-2080
Practitioners 2
-
Harry M Goldin, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0414140 | Goldin Skin Dermatology | Compliance | Apr 5, 2027 |
National Provider Directory
Locations
4709 Golf Rd
Ste 1000
Skokie, IL 60076
Phone (847) 677-1170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
4709 Golf Rd Ste 1000
Skokie, IL 60076-1260
Mailing address
4709 Golf Rd Ste 1000
Skokie, IL 60076-1260
Phone (847) 677-2080
Other names
- Goldin Skin Dermatology LLC
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.