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MR. EDWARD NMN GOLDSBOROUGH IV IDC
NPI 1053511394
Military Health Care Provider - Independent Duty Corpsman in Great Lakes, IL

Active since July 24, 2007
3001 A 6TH ST, GREAT LAKES, IL 60088(847) 688-4560 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Nmn Goldsborough Iv Idc NPPES

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

MR. EDWARD NMN GOLDSBOROUGH IV IDC (NPI 1053511394) is an individual independent duty corpsman provider in Great Lakes, Illinois and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1053511394
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. EDWARD NMN GOLDSBOROUGH IVCredential: IDC
Location Address3001 A 6TH STGreat Lakes, IL 60088
Mailing Address8736 S 50th AveOak Lawn, IL 60453-1340 · (847) 454-4046
Phone(847) 688-4560
Sole ProprietorYes
Enumeration DateJuly 24, 2007
✔ NPI 1053511394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
3001 A 6TH ST, Great Lakes, IL 60088
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Other Providers at the Same Location NPPES 2

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

GERALD J. GEORGE R.PH.
Pharmacist
3001 A 6TH ST
GREAT LAKES, IL 60088
Lake County (847) 688-3374
DR. JASON TED GEARY DDS
Dentist (General Practice)
3001 A 6TH ST, NAVAL HEALTH CLINIC
GREAT LAKES, IL 60088
Lake County (847) 688-2100

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 Edward Goldsborough's NPI number?

The NPI number for Edward Goldsborough is 1053511394. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Edward Goldsborough located?

Edward Goldsborough practices at 3001 A 6th St, Great Lakes, IL 60088. The listed phone number is (847) 688-4560.

What is Edward Goldsborough's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Edward Goldsborough was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.