Gold Coast Internal Medicine

NPI #1053403162 in Chicago, Illinois

Provider Information

NPI Number: 1053403162
Entity Type: Organization
Organization Name: Gold Coast Internal Medicine
Primary Specialty: Specialist
Enumeration Date: Sep 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3000 N HALSTED STREET
Address 2: SUITE 303
City: Chicago
State: Illinois
ZIP Code: 60657-5190
Phone: (773) 525-1900

Authorized Official

Name: DR. WALDO EMERSON HARVEY JR., M.D.
Title: PRESIDENT
Phone: (773) 525-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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