Physician Compare National (NPI:1427013374)

HEALTHCARE PROVIDER: JONATHON DREW GOLDMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1427013374
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880857374
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120521000227
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOLDMAN
	Individual professional last name
Provider First Name	JONATHON
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	541 N FAIRBANKD CRT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2719
	Group Practice or individual's line 2 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606113708
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3126491329
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y