Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gold Coast Internal Medicine

Organization Specialist · NPI 1053403162

Gold Coast Internal Medicine is a Specialist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

3000 N Halsted St Ste 303
Chicago, IL 60657-5190
Phone: (773) 525-1900
Fax: (773) 525-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1053403162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Waldo Harvey — President · (773) 525-1900
NPI enumeratedSeptember 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3000 N Halsted Street, Suite 303, Chicago, IL 60657-5190

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