MR. EDWARD GOLDSBOROUGH IV, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1053511394

Practice Address

3001 A 6TH ST
Great Lakes, IL 60088

Phone: (847) 688-4560

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1053511394 is the National Provider Identifier for MR. EDWARD GOLDSBOROUGH IV, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Great Lakes, IL. This NPI was enumerated on July 24, 2007.
MR. EDWARD GOLDSBOROUGH IV, IDC practices at 3001 A 6TH ST, Great Lakes, IL 60088.

Quick Facts

NPI
1053511394
Type
Individual
Enumerated
Jul 24, 2007
Last Updated
Jul 24, 2007

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