Individual provider Active NPI

Julie S Goldberg, MD

  • Dermatology Physician
  • Northbrook, IL
National Provider Identifier
1528068202
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036097576 Issued in IL
Practice address
513 Waukegan Rd
Northbrook, IL 60062-1252
Phone
(847) 205-0007
Fax
(847) 205-0099
NPI assigned
Jul 26, 2005
Reactivated
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036097576 IL Primary

Addresses

Primary practice location

513 Waukegan Rd
Northbrook, IL 60062-1252

Mailing address

513 Waukegan Rd
Northbrook, IL 60062-1252
Phone (847) 205-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000003 IL Practitioner - Dermatology 0446230957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Illinois, PLLCGroup PAC ID 9537128004, 12 clinicians

Practice addresses (Care Compare)

2551 Compass Rd
Suite 105
Glenview, IL 60026-8042
Phone (847) 901-0252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions853
Removal or shaving of skin growth228
Skin biopsy295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Illinois, PLLC Dermatology CurrentSince Jan 1, 2017 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
North Shore Rheumatology Past Accepting new patients

Locations

3000 N Halsted St
Ste 320
Chicago, IL 60657
Phone (773) 296-3636

2551 Compass Rd
Ste 105
Glenview, IL 60026
Phone (847) 901-0252

900 N Westmoreland Rd
Ste 222
Lake Forest, IL 60045
Phone (847) 234-6121

225 E Deerpath
Ste 50
Lake Forest, IL 60045
Phone (847) 234-6121

Interoperability endpoints

  • Direct secure messaging: jgoldberg@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528068202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WAUKEGAN RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621252",
            "telephone_number": "847-205-0007",
            "fax_number": "847-205-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WAUKEGAN RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621252",
            "telephone_number": "847-205-0007",
            "fax_number": "847-205-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JULIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036097576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.