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Edward Goldsborough, IDC — NPI 1053511394, Great Lakes, IL | NPI Central

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Edward Goldsborough, IDC

NPI 1053511394 · Independent Duty Corpsman · Great Lakes, IL

Provider details

NPI number: 1053511394
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

3001 a 6th St

Great Lakes, IL 60088

Phone: (847) 688-4560

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

8736 S 50th Ave

Oak Lawn, IL 60453-1340

Registry dates

Enumerated: 2007-07-24
Last updated: 2007-07-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.