Provider Demographics
NPI:1528224128
Name:GOLDSBOROUGH, KATY H (MD)
Entity Type:Individual
Prefix:DR
First Name:KATY
Middle Name:H
Last Name:GOLDSBOROUGH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3745 HIGHLAND AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1584
Mailing Address - Country:US
Mailing Address - Phone:630-369-1501
Mailing Address - Fax:630-369-1560
Practice Address - Street 1:3745 HIGHLAND AVE FL 2
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1584
Practice Address - Country:US
Practice Address - Phone:630-369-1501
Practice Address - Fax:630-369-1560
Is Sole Proprietor?:No
Enumeration Date:2008-08-03
Last Update Date:2021-12-17
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Provider Licenses
StateLicense IDTaxonomies
IL036116206207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL803900006Medicare UPIN