Sudhir M Gokhale Md Sc
LBN: Sudhir M Gokhale Md Sc
Sudhir M Gokhale Md Sc is an health care organization with primary practice located at 10735 S Cicero Ave Ste 100 , Oak Lawn IL 60453-6210. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Sudhir M Gokhale Md Sc can be contacted via phone (708) 636-2211, or through Gokhale, Sudhir M via phone (708) 636-2211.
Contact Information
Primary practice address
10735 S Cicero Ave Ste 100
Oak Lawn IL 60453-6210
Phone: (708) 636-2211
Fax: (708) 636-5552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 036058650 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 036058650 | Illinois |
Profile Details
| NPI number | 1003961343 |
|---|---|
| LBN Legal business name | Sudhir M Gokhale Md Sc |
| DBA Doing business as | |
| Authorized official | Gokhale, Sudhir M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 22nd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003961343 | NPPES |
| Illinois | MEDICAID | 036058650 |
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