MEDICARE: BRUCE A. GOBER MD LTD

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
1	2084P0800X	Psychiatry Physician	036045996	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043323272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE A. GOBER MD LTD

Provider Business Mailing Address
First Line	:	3300 N LAKE SHORE DR
Second Line	:	APT 5A
City	:	CHICAGO
State	:	IL
Zip	:	60657-3957
Country	:	US
Telephone Number	:	773-213-5016
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 N LAKE SHORE DR
Second Line	:	APT 5A
City	:	CHICAGO
State	:	IL
Zip	:	60657-3957
Country	:	US
Telephone Number	:	773-213-5016
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRUCE GOBER
Credential	:	M.D.
Telephone Number	:	773-213-5016

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	02/19/2016

Similar Medicare Providers

1093084998 — DR. VICKI GREENE PSY.D.
Practice Location Address:

3300 N LAKE SHORE DR , SUITE 14B
CHICAGO, IL
60657-3957

Practice Phone: 773-610-6165
Practice Fax:

1255534483 — DR. SHALINI CHAWLA M.D.
Practice Location Address:

519 N CASS AVE , SUITE 204
WESTMONT, IL
60559-1514

Practice Phone: 630-541-9560
Practice Fax: 630-541-8381

1184898660 — MS. JENNIFER A. MISASI PNP-BC
Practice Location Address:

3319 N ASHLAND AVE
CHICAGO, IL
60657-2127

Practice Phone: 773-747-8501
Practice Fax:

1497691877 — LAUREN FAITH MONDELLO BSW
Practice Location Address:

929 W BELMONT AVE
CHICAGO, IL
60657-4408

Practice Phone: 312-530-0323
Practice Fax:

1194661504 — JESSICA KAUFMAN
Practice Location Address:

3021 N SHEFFIELD AVE
CHICAGO, IL
60657-4419

Practice Phone: 773-296-7450
Practice Fax:

1740126044 — MS. ARIANA MILLINGTON LPC
Practice Location Address:

1300 W BELMONT AVE STE 10
CHICAGO, IL
60657-3200

Practice Phone: 814-594-5090
Practice Fax:

Directions to “BRUCE A. GOBER MD LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.