| Gregory T Goldstein, MD | |
|
1638 W Surf St, Chicago, IL 60657-3599 | |
| (312) 890-3999 | |
| (847) 919-3849 |
| Full Name | Gregory T Goldstein |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 1638 W Surf St, Chicago, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821063496 | NPI | - | NPPES |
| 036104855 | Medicaid | IL | |
| CN0576 | Other | GROUP # | |
| PTAN IL 1739 | Other | IL | MRI OF CHICAGO, LLC |
| 1615479 | Other | IL | BCBS |
| 3001384006 | Other | RR MC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036104855 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suburban Orthopaedics Ltd | 7113950700 | 18 |
| Corazon Medical Pc | 1456725910 | 4 |
| Spectrum Imaging Sc | 3678892247 | 41 |
| Satish A Shah Md Pc | 0648258947 | 16 |
| Illinois Bone And Joint Institute, Llc | 6002814878 | 603 |
| Joshua Penn Md A Medical Corporation | 9436236585 | 5 |
| Entity Name | Suburban Orthopaedics Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275749475 PECOS PAC ID: 7113950700 Enrollment ID: O20050914000673 |
| Entity Name | Illinois Bone and Joint Institute, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
| Entity Name | Spectrum Imaging SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821482621 PECOS PAC ID: 3678892247 Enrollment ID: O20150501002011 |
| Entity Name | Joshua Penn MD a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942478763 PECOS PAC ID: 9436236585 Enrollment ID: O20191217001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory T Goldstein, MD 1638 W Surf St, Chicago, IL 60657-3599 Ph: (312) 890-3999 | Gregory T Goldstein, MD 1638 W Surf St, Chicago, IL 60657-3599 Ph: (312) 890-3999 |
Kabeer Rajan Masih, MD Radiology Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 |
Lauren Elizabeth Arsenault, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5781 Fax: 312-942-7244 |
Dr. Mohan Phatak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5138 Fax: 773-792-5124 |
Janice Dieschbourg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 155, Chicago, IL 60612 Phone: 312-563-3269 |
Amir K Sepahdari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5145 N California Avenue, Swedish Covenant Hospital, Chicago, IL 60625 Phone: 773-989-3814 Fax: 773-989-6230 |
Dr. Amar Pravin Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 461, Chicago, IL 60612 Phone: 312-942-5781 |
Dr. Naveen Prabhakar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-7820 Fax: 773-296-7821 |