Active NPI
Alvin Goldberg MD SC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1609914423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALVIN GOLDBERG MD SC
- Practice address
- 1751 W 95TH St
Chicago, IL 60643 - Phone
- (773) 239-1400
- Fax
- (773) 239-0400
- NPI assigned
- Feb 2, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alvin A Goldberg
- Title
- Owner Medical Director
- Phone
- (773) 239-1400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary | |
| Physical Medicine & Rehabilitation Physician | 208100000X | IL | ||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | IL |
Addresses
Primary practice location
1751 W 95TH St
Chicago, IL 60643
Mailing address
1751 W 95TH St
Chicago, IL 60643
Phone (773) 239-1400
National Provider Directory
National Provider DirectoryLocations
1751 W 95th St
Chicago, IL 60643
Phone (773) 239-1400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Chiropractor
- Chicago, IL
- NPI 1790999563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1609914423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 W 95TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60643",
"telephone_number": "773-239-1400",
"fax_number": "773-239-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 W 95TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60643",
"telephone_number": "773-239-1400",
"fax_number": "773-239-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALVIN GOLDBERG MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "ALVIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
"authorized_official_telephone_number": "773-239-1400"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.