Search › Illinois › 207R00000X
Bruce Goldenberg, MD
NPI 1528172236 · on the registry since 2006
Practice
- Address
- 5425 W Lawrence Ave
Chicago, IL 60630 - Phone
- (773) 725-7557
- Fax
- (773) 794-0138
- Organisation at this address
- Sage Medical Group Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 9555 S 52nd Ave, Oak Lawn, IL
- 14555 W National Ave, New Berlin, WI
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RC0200X
207RC0200X - Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois