Provider Demographics
NPI:1063534733
Name:GOLBER, INNA L (MD)
Entity type:Individual
Prefix:MS
First Name:INNA
Middle Name:L
Last Name:GOLBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7033 NORTH KEDZIE AVE
Mailing Address - Street 2:# 815
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-2816
Mailing Address - Country:US
Mailing Address - Phone:773-262-1042
Mailing Address - Fax:773-262-0485
Practice Address - Street 1:4555 W OAKTON AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-982-9988
Practice Address - Fax:773-262-0485
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL47647OtherPIN
C48482Medicare UPIN
IL47647OtherPIN