Gourguechon, Prudence L
Gourguechon, Prudence L is an sole proprietor health care provider with primary practice located at 540 W Frontage Rd Sutie 2120, Northfield IL 60093-1250. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gourguechon, Prudence L can be contacted via phone (847) 441-1395.Contact Information
Primary practice address
540 W Frontage Rd Sutie 2120
Northfield IL 60093-1250
Phone: (847) 441-1395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Illinois |
Profile Details
| NPI number | 1912085259 |
|---|---|
| LBN Legal business name | Gourguechon, Prudence L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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