| Organization Name: | HARRIS S GOLDENBERG, M.D., S.C. |
| NPI Number: | 1265817837 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARRIS S GOLDENBERG (PRESIDENT) |
| Mailing Address: | 2617 Greenwood Rd Northbrook |
| State: | IL US |
| Postal Code: | 600627622 |
| Phone Number: | 8475302226 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2015 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036043474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |