| Doctor Name: | ROGER P GOLDBERG |
| NPI Number: | 1285733139 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036-099584 |
| Business Practice Address: | 1000 Central St Suite 730 Evanston, IL - 602011777 |
| Business Phone Number: | 8475702750 |
| Business Fax Number: | 8475701386 |
| Mailing Address: | 9650 Gross Point Road, Third Floor SKOKIE |
| State: | IL |
| Postal Code: | 60076 |
| Phone Number: | 2242512374 |
| Fax Number: | 8479333531 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 04/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 036-099584 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |