| Gold Coast Osteopathic, Psc | |
|
680 N Lake Shore Dr Ste 1040 Chicago IL 60611-8718 | |
| (773) 554-6055 | |
| Not Available |
| Full Name | Gold Coast Osteopathic, Psc |
|---|---|
| Speciality | Neuromusculoskeletal Medicine & Omm |
| Location | 680 N Lake Shore Dr Ste 1040, Chicago, Illinois |
| Authorized Official Name and Position | Aida Beckerly (PRESIDENT) |
| Authorized Official Contact | 7735546055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Osteopathic, Psc 680 N Lake Shore Dr Suite 1040 Chicago IL 60611-4546 Ph: (773) 554-6055 | Gold Coast Osteopathic, Psc 680 N Lake Shore Dr Ste 1040 Chicago IL 60611-8718 Ph: (773) 554-6055 |
| NPI Number | 1750733788 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750733788 | NPI | - | NPPES |
| 1568816254 | Other | IL | ILLINOIS STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | (* (Not Available)) | Primary |
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