Provider Demographics
NPI:1902069412
Name:GOLDKIND, ADAM (DPM)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:GOLDKIND
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:960 KING RICHARDS CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2627
Mailing Address - Country:US
Mailing Address - Phone:847-309-5236
Mailing Address - Fax:847-310-8156
Practice Address - Street 1:1585 BARRINGTON RD STE 305
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-5019
Practice Address - Country:US
Practice Address - Phone:847-310-8100
Practice Address - Fax:847-310-8156
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILSTUDENT213ES0103X
IL016.005406213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery