Provider Demographics
NPI:1619291861
Name:GOLBIN-HALLETT, DINA (DO)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:GOLBIN-HALLETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DINA
Other - Middle Name:A
Other - Last Name:GOLBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1750 N RANDALL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-7903
Mailing Address - Country:US
Mailing Address - Phone:847-888-9000
Mailing Address - Fax:847-888-9001
Practice Address - Street 1:1750 N RANDALL RD STE 210
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-7903
Practice Address - Country:US
Practice Address - Phone:847-888-9000
Practice Address - Fax:847-888-9001
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.136937207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery