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

Eric Goldstein

Individual provider Medical Physician Assistant · NPI 1629640404

Eric Goldstein is a Medical Physician Assistant in Libertyville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

716 S Milwaukee Ave
Libertyville, IL 60048-3225
Phone: (847) 362-1848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085.008644 (IL)

Record details

NPI number1629640404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 12, 2021
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing address716 S Milwaukee Ave, Libertyville, IL 60048-3225

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