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

Gold Coast Osteopathic, PSC

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1568816254

Gold Coast Osteopathic, PSC is a Neuromusculoskeletal Medicine & OMM Physician in Chicago, Illinois. Licensed in Illinois, Indiana, Massachusetts and New York. Registered with an NPI since 2016.

Licensed in
IL, IN, MA, NY
In the registry since
2016
Specialties on file
8
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

680 N Lake Shore Dr Ste 1040
Chicago, IL 60611-4546
Phone: (773) 554-6055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 243290 (MA)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 02004367B (IN)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 261752 (NY)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 243290 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 02004367A (IN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 261752 (NY)

Record details

NPI number1568816254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aida Beckerly — President · (773) 553-6055
NPI enumeratedApril 19, 2016
Last updated in NPPESApril 19, 2016
Mailing address680 N Lake Shore Dr Ste 1040, Chicago, IL 60611-8718

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