Healthcare Provider Details

I. General information

NPI: 1710927645
Provider Name (Legal Business Name): JULIET GOLDSHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21120 WASHINGTON PKWY
FRANKFORT IL
60423-3112
US

IV. Provider business mailing address

7 PARKWAY CENTER SUITE 375
PITTSBURGH PA
15220
US

V. Phone/Fax

Practice location:
  • Phone: 815-469-9750
  • Fax: 815-469-9752
Mailing address:
  • Phone: 412-937-5700
  • Fax: 412-937-5739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number336.050343
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: