Provider Demographics
NPI:1649466087
Name:GOLBIN, ALEXANDER Z (MD)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:Z
Last Name:GOLBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 LAKE COOK RD STE 118
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4909
Mailing Address - Country:US
Mailing Address - Phone:847-984-6585
Mailing Address - Fax:847-984-6586
Practice Address - Street 1:707 LAKE COOK RD STE 118
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4909
Practice Address - Country:US
Practice Address - Phone:847-984-6585
Practice Address - Fax:847-984-6586
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036067800207RS0012X, 2084P0800X
IL336078293207RS0012X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL31601717OtherBCBS
IL036067800Medicaid
IL31601717OtherBCBS
IL036067800Medicaid
ILC47329Medicare UPIN