NPI 1750733788

Gold Coast Osteopathic, Psc

Organisation Neuromusculoskeletal Medicine & OMM Physician Chicago, IL

Practice location

Address: 680 N Lake Shore Dr STE 1040, Chicago, IL 60611-8718
Phone: (773) 554-6055
Mailing address: 680 N Lake Shore Dr Suite 1040, Chicago, IL 60611-4546

Authorised official

Name: Aida Beckerly
Title: President
Phone: (773) 554-6055

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X

Other Neuromusculoskeletal Medicine & OMM providers in Illinois →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Illinois →

Registry record

NPI: 1750733788
Entity type: Organization
NPI issued: 1 Jul 2016
Record last updated: 13 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.