MEDICARE: DR. JEAN B GOLDSMITH PHD

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	103TC0700X	Clinical Psychologist		IL

General Provider Information

NPI Number	:	1598817587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAN B GOLDSMITH PHD

Provider Business Mailing Address
First Line	:	2652 W COYLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-3215
Country	:	US
Telephone Number	:	773-973-0540
Fax Number	:	773-973-4136

Provider Business Practice Location Address
First Line	:	2652 W COYLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-3215
Country	:	US
Telephone Number	:	773-973-0540
Fax Number	:	773-973-4136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1528325552 — DR. GLORIA DSOUZA M.D.
Practice Location Address:

2638 W COYLE AVE
CHICAGO, IL
60645-3215

Practice Phone: 773-761-3229
Practice Fax:

1700145331 — DR. JACOB ZE'EV BARNETT GOLDSMITH PH.D.
Practice Location Address:

2652 W COYLE AVE
CHICAGO, IL
60645-3215

Practice Phone: 773-354-2652
Practice Fax:

1205949484 — DR. ANNA BIRN-FORYS M.D.
Practice Location Address:

5605 W GUNNISON ST
CHICAGO, IL
60630-3215

Practice Phone: 773-545-2525
Practice Fax: 773-205-5700

1669585857 — DR. VICTOR ALEKSANDER FORYS M.D.
Practice Location Address:

5605 W GUNNISON ST
CHICAGO, IL
60630-3215

Practice Phone: 773-545-2525
Practice Fax: 773-205-5700

1588864573 — OPTICAL 20/20
Practice Location Address:

3215 W CERMAK RD
CHICAGO, IL
60623-3310

Practice Phone: 773-522-2501
Practice Fax:

1184869240 — GLOBAL MEDICAL PRODUCTS LLC.
Practice Location Address:

3209 N LAKEWOOD AVE
CHICAGO, IL
60657-3215

Practice Phone: 773-388-1206
Practice Fax:

Directions to “ DR. JEAN B GOLDSMITH PHD” 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.