Irene Michele Goldstein, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036101014 Issued in IL

Practice address

15614 S Harlem Ave
Unit F
Orland Park, IL 60462-4402

Phone

(855) 707-8346

Fax

(708) 371-4569

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Irene Michele Herman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1932157104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W 95TH ST",
            "address_2": "SUITE 205",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532654",
            "telephone_number": "708-346-4040",
            "fax_number": "708-346-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 S HARLEM AVE",
            "address_2": "UNIT F",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624402",
            "telephone_number": "855-707-8346",
            "fax_number": "708-371-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "IRENE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036101014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "HERMAN",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glory HHC
• Christopher Michael Gloude, FNP
• Lindsay Marie Gnade, PHYSICIAN ASSISTANT
• James B Goebel, PH.D.
• Amy Golaszewski, PA-C
• Jessica Gonzales, FNP-BC
• Filiberto Alex Gonzalez, AU.D.
• Desiree Ann Goodale-Buttimer, LCSW
• Goodlife Physical Therapy
• Stacy Goodman, MSW

• Vascular Surgery Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.