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Deactivated NPI 1679567747 Deactivated / Inactive NPI Male Practitioner

Dr. Barry Goldman , MD

Pediatrics • Gurnee, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Barry Goldman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2005
NPI Deactivation Date January 04, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Barry Goldman, MD was a registered Pediatrics practicing in Gurnee, IL. Throughout an active medical career spanning 18 years, Dr. Goldman provided care at the practice location at 15 TOWER CT until profile deactivation on 2023-01-04.

Practice Location & Contact Primary Location

Practice Address

15 Tower Ct
Suite 100

Gurnee, IL 600313336

Telephone 8472441375
Fax 8472441002
Associated Practice Facility / Clinic
🏢 Jeffrey J Hicks Dpm Pc Facility NPI 1588644892

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Gurnee, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036039791

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1053305128

Doctor of Medicine (M.D.)

Ron-Gran Apilado , PA

Physician Assistant

NPI 1073779088

Physician Assistant

NPI 1144214214

Doctor of Medicine (M.D.)

NPI 1235123308

Doctor of Medicine (M.D.)

NPI 1275095093

Doctor of Medicine (M.D.)

Linda Buier , APN, PNP

Nurse Practitioner - Pediatrics

NPI 1346406162

Advanced Practice Nurse, Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 04, 2023

Record deactivated on January 04, 2023

NPI Profile Active October 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 12, 2011

Registered at 15 TOWER CT, SUITE 100, GURNEE, IL 600313336 (Tel: 8472441375)

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Updated Business Mailing Address October 12, 2011

Registered at 15 TOWER CT, SUITE 100, GURNEE, IL 600313336 (Tel: 8472441375)

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Provider Name / Credentials Updated October 12, 2011

Recorded as BARRY GOLDMAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2011

Pediatrics (License #036039791 in IL)

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Initial NPI Registration & Enumeration September 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679567747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2005
Last Update: October 12, 2011
Deactivation Date: January 04, 2023

Mailing Address

15 Tower Ct, Suite 100

Gurnee, IL 600313336

Phone: 8472441375

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.