Provider Demographics
NPI:1467429225
Name:GOYNSHOR, JULIE HERST (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:HERST
Last Name:GOYNSHOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ELYSE
Other - Last Name:HERST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1345 WILEY RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173
Mailing Address - Country:US
Mailing Address - Phone:847-884-9440
Mailing Address - Fax:847-884-8051
Practice Address - Street 1:1345 WILEY RD
Practice Address - Street 2:SUITE 117
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173
Practice Address - Country:US
Practice Address - Phone:847-884-9440
Practice Address - Fax:847-884-8051
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine