OrganizationActive
Gold Coast Osteopathic, Psc
NPI 1750733788 · Neuromusculoskeletal Medicine & OMM Physician · Chicago, IL
Provider details
- NPI number
- 1750733788
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aida Beckerly, President(773) 554-6055
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
680 N Lake Shore Dr Ste 1040
Chicago, IL 60611-8718
Phone: (773) 554-6055
Approximate (ZIP-level) locationGet directions
Mailing address
680 N Lake Shore Dr
Chicago, IL 60611-4546
Registry dates
- Enumerated
- 2016-07-01
- Last updated
- 2016-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.