DR. IRENE MICHELE GOLDSTEIN (NPI# 1932157104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932157104 |
Entity Type | Individual |
Full Name | DR. IRENE MICHELE GOLDSTEIN |
Other Name | DR. IRENE MICHELE HERMAN |
Credential | M.D. |
Practice Address |
15614 S Harlem Ave Unit F Orland Park IL 60462-4402 |
Mailing Address |
4400 W 95th St Suite 205 Oak Lawn IL 60453-2654 |
Practice Telephone | 8557078346 |
Practice Fax Number | 7083714569 |
Mailing Telephone | 7083464040 |
Mailing Fax Number | 7083463287 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2014-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036101014 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036101014 | 05 |
Street Address |
15614 S HARLEM AVE UNIT F |
City | ORLAND PARK |
State | IL |
Zip Code | 60462-4402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578563912 | Abdol Azaran | Internal Medicine | 15614 S Harlem Ave, Suite C, Orland Park, IL 60462-4402 | 2005-07-28 |
1962717314 | Otto J. Tor, D.d.s., Ltd. | Dentist | 15614 S Harlem Ave, Suite A, Orland Park, IL 60462-4402 | 2010-08-10 |
1003077413 | Otto James Tor | Dentist | 15614 S Harlem Ave, Suite A, Orland Park, IL 60462-4402 | 2008-06-18 |
1508034463 | Gary L. Williams Dpm PC | Podiatrist | 15614 S Harlem Ave, Suite C, Orland Park, IL 60462-4402 | 2008-02-13 |
1841470671 | John M Curtin, D.o., S.c. | Clinic/Center | 15614 S Harlem Ave, Suite F, Orland Park, IL 60462-4402 | 2007-11-08 |
1790848877 | Med-peds Specialists S.c. | Pediatrics | 15614 S Harlem Ave, Suite D, Orland Park, IL 60462-4402 | 2006-12-19 |
1093802712 | Alicja Kraska-cwikla | Internal Medicine | 15614 S Harlem Ave, Suite D, Orland Park, IL 60462-4402 | 2006-10-06 |
1750492807 | Cynthia W Wong | Dentist | 15614 S Harlem Ave, Unit B, Orland Park, IL 60462 | 2006-08-31 |
1992762645 | Tomasz Cwikla | Pediatrics | 15614 S Harlem Ave, Suite D, Orland Park, IL 60462-4402 | 2006-04-27 |
1396711073 | Gary L Williams | Podiatrist | 15614 S Harlem Ave, Suite C, Orland Park, IL 60462-4402 | 2006-02-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
Find all providers in zip 60462 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083674170 | Charles Franklin Martin I | Surgery | 9501 W 144th Pl, Suite 304, Orland Park, IL 60462-2561 | 2006-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396267324 | Congress Vascular Center LLC | Surgery | 41 W Congress Pkwy Fl 1, Chicago, IL 60605-1531 | 2017-07-11 |
1043731300 | Elmwood Park Vascular Center LLC | Surgery | 7230 W North Ave Ste 108, Elmwood Park, IL 60707-4261 | 2017-06-27 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1992126668 | Vascular Specialists LLC | Surgery | 20060 Governors Dr Ste 102, Olympia Fields, IL 60461-1099 | 2013-12-26 |
1588959548 | Patrick Michael Sullivan Neville | Surgery | 4600 Memorial Dr Ste 120, Belleville, IL 62226-5359 | 2011-06-17 |
1235454968 | Margaret Claire Rigamer | Surgery | 1901 W Harrison St Dept Of, Chicago, IL 60612-3714 | 2010-04-06 |
1215251541 | John V. White, Md, LLC | Surgery | 8816 W Dempster St, Niles, IL 60714-5109 | 2010-03-15 |
1710212733 | Vascular Surgery and Interpretation S.c. | Surgery | 3330 W 177th St Ste 2c1, Hazel Crest, IL 60429-2184 | 2009-10-08 |
1538391792 | Usa Vein Clinics of Chicago LLC | Surgery | 4141 Dundee Rd, Northbrook, IL 60062-2129 | 2009-08-20 |
1306010731 | Tanq, Inc. | Surgery | 18510 S Marilynn Ct, Mokena, IL 60448-9517 | 2008-04-16 |
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City | ORLAND PARK |
Zip Code | 60462 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.