| Personalized Healthcare | |
|
767 Park Ave W Suite 330 Highland Park IL 60035-2400 | |
| (847) 433-1709 | |
| (847) 681-8251 |
| Full Name | Personalized Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 767 Park Ave W, Highland Park, Illinois |
| Authorized Official Name and Position | Barry R. Goldberg (MD/PHYSICIAN) |
| Authorized Official Contact | 8474331709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Healthcare 767 Park Avenue Suite 330 Highland Park IL 60035-3109 Ph: (847) 433-1709 | Personalized Healthcare 767 Park Ave W Suite 330 Highland Park IL 60035-2400 Ph: (847) 433-1709 |
| NPI Number | 1659528784 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2009 |
| Medicare PECOS PAC ID | 3870669955 |
|---|---|
| Medicare Enrollment ID | O20080915000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659528784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036061202 (Illinois) | Primary |
| Provider Name | Barry Richard Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450548 PECOS PAC ID: 1052305513 Enrollment ID: I20070919000676 |
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