Active NPI
Salmon S Goldberg, M.D.
- Allergy & Immunology Physician
- Northbrook, IL
National Provider Identifier
1487674883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Practice address
- 500 Skokie Blvd
Suite 140
Northbrook, IL 60062-2856 - Phone
- (847) 272-4296
- Fax
- (847) 272-4177
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | IL | Primary |
Addresses
Primary practice location
500 Skokie Blvd
Suite 140
Northbrook, IL 60062-2856
Mailing address
10 Bannockburn CT
Bannockburn, IL 60015-1818
Phone (847) 444-0405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-041591 | IL | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487674883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BANNOCKBURN CT",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151818",
"telephone_number": "847-444-0405",
"fax_number": "847-444-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SKOKIE BLVD",
"address_2": "SUITE 140",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622856",
"telephone_number": "847-272-4296",
"fax_number": "847-272-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "SALMON",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.