NPIMap

Organization Active NPI

Corey Goldstein, MD, S.C.

  • Psychiatry Physician
  • Skokie, IL
National Provider Identifier
1659782340
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.104658 Issued in IL
Legal business name
COREY GOLDSTEIN, MD, S.C.
Practice address
4711 Golf Rd
Ste 1200
Skokie, IL 60076-1224
Phone
(773) 330-4332
Fax
(312) 985-9390
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Corey Goldstein, M.D.
Title
Physician
Phone
(773) 330-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036.104658 IL Primary

Addresses

Primary practice location

4711 Golf Rd
Ste 1200
Skokie, IL 60076-1224

Mailing address

4711 Golf Rd
Ste 1200
Skokie, IL 60076-1224
Phone (773) 330-4332

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1659782340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "STE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "773-330-4332",
            "fax_number": "312-985-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "STE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "773-330-4332",
            "fax_number": "312-985-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY GOLDSTEIN, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-330-4332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.104658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.