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

Mr. Edward Nmn Goldsborough IV, IDC

Individual provider Independent Duty Corpsman · NPI 1053511394

Mr. Edward Nmn Goldsborough IV, IDC is an Independent Duty Corpsman in Great Lakes, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3001 A 6th St
Great Lakes, IL 60088
Phone: (847) 688-4560
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1053511394
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedJuly 24, 2007
Last updated in NPPESJuly 24, 2007

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