Prudence L. Gourguechon, M.D. S.C.

LBN: Prudence L. Gourguechon, M.D. S.C.
Prudence L. Gourguechon, M.D. S.C. is an health care organization with primary practice located at 1454 W Farragut Ave , Chicago IL 60640-2104. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as the primary health care specialty. Prudence L. Gourguechon, M.D. S.C. can be contacted via phone (773) 878-8082, or through Gourguechon, Prudence L via phone (773) 878-8082.

Contact Information

Primary practice address
1454 W Farragut Ave Chicago IL 60640-2104
Phone: (773) 878-8082
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gourguechon, Prudence L Doctor of Medicine (MD)
Phone: (773) 878-8082

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 036062459 Illinois

Profile Details

NPI number 1902134778
LBN Legal business name Prudence L. Gourguechon, M.D. S.C.
DBA Doing business as
Authorized official Gourguechon, Prudence L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2009
Last updated Dec 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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