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NPI Code Detail

MEDICARE: JOSHUA GOLDMAN

MEDICARE:   JOSHUA  GOLDMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist208.011657IL

General Provider Information

NPI Number : 1891626503
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA GOLDMAN
Provider Business Mailing Address
First Line : 1249 WAUKEGAN RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-3077
Country : US
Telephone Number : 847-650-4970
Fax Number :
Provider Business Practice Location Address
First Line : 1249 WAUKEGAN RD
Second Line :
City : GLENVIEW
State : IL
Zip : 60025-3077
Country : US
Telephone Number : 847-650-4970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ JOSHUA GOLDMAN ” Practice Location

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