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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063115624

Ellen Goldberg is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

924 E 57th St Ste 104
Chicago, IL 60637-1455
Phone: (773) 702-1939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 924 E 57th St Ste 104, Chicago, IL 60637-1455

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063115624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

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