GOLD COAST INTERNAL MEDICINE
NPI 1053403162
Specialist in Chicago, IL

Q: What is Gold Coast Internal Medicine's NPI number?

The NPI number for Gold Coast Internal Medicine is 1053403162. It was assigned to this organization in the NPPES registry on September 28, 2006.

Q: What is Gold Coast Internal Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 28, 2006

3000 N HALSTED STREET, SUITE 303, CHICAGO, IL 60657(773) 525-1900(773) 525-1911 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gold Coast Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLD COAST INTERNAL MEDICINE (NPI 1053403162) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since September 2006. The organization lists Waldo Emerson Harvey, President, as its authorized official.

NPPES Registry Identity

NPI1053403162

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameGOLD COAST INTERNAL MEDICINE

Location Address3000 N HALSTED STREET, SUITE 303Chicago, IL 60657-5190

Mailing Address3000 N Halsted Street, Suite 303Chicago, IL 60657-5190 · (773) 525-1900 · Fax (773) 525-1911

Phone(773) 525-1900

Fax(773) 525-1911

Organization SubpartNo

Authorized OfficialWaldo Emerson HarveyPresident · (773) 525-1900

Enumeration DateSeptember 28, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1053403162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3000 N HALSTED STREET, Chicago, IL 60657

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Other Identifiers 2

Other72761IL · Humana

Other1623742IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS C MALVAR MD

Urology

3000 N HALSTED STREET, STE 611
CHICAGO, IL 60657

Cook County (773) 868-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gold Coast Internal Medicine's NPI number?

The NPI number for Gold Coast Internal Medicine is 1053403162. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Gold Coast Internal Medicine located?

Gold Coast Internal Medicine is located at 3000 N Halsted Street Suite 303, Chicago, IL 60657. The listed phone number is (773) 525-1900.

What is Gold Coast Internal Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gold Coast Internal Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.