| Stephen Goldman, MD | |
|
1850 Gateway Dr, Sycamore, IL 60178-3192 | |
| (815) 758-8671 | |
| Not Available |
| Full Name | Stephen Goldman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 24 Years |
| Location | 1850 Gateway Dr, Sycamore, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477577492 | NPI | - | NPPES |
| 036-116714 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036-116174 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Kishwaukee Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Goldman, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 | Stephen Goldman, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (815) 758-8671 |
Jack Wagoner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-5610 | |
Roger Maillefer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 | |
Nitzet Velez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 |