| Sudhir M Gokhale Md Sc | |
|
10735 S Cicero Ave Ste 100 Oak Lawn IL 60453-6210 | |
| (708) 636-2211 | |
| (708) 636-5552 |
| Full Name | Sudhir M Gokhale Md Sc |
|---|---|
| Speciality | Counselor |
| Location | 10735 S Cicero Ave Ste 100, Oak Lawn, Illinois |
| Authorized Official Name and Position | Sudhir M Gokhale (MD) |
| Authorized Official Contact | 7086362211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudhir M Gokhale Md Sc 10735 S Cicero Ave Ste 100 Oak Lawn IL 60453-6210 Ph: (708) 636-2211 | Sudhir M Gokhale Md Sc 10735 S Cicero Ave Ste 100 Oak Lawn IL 60453-6210 Ph: (708) 636-2211 |
| NPI Number | 1003961343 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 7517923246 |
|---|---|
| Medicare Enrollment ID | O20041206000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003961343 | NPI | - | NPPES |
| 036058650 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 036058650 (Illinois) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 036058650 (Illinois) | Primary |
| Provider Name | Alan Joseph Schmit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326124082 PECOS PAC ID: 7719889385 Enrollment ID: I20040123000448 |
| Provider Name | Laurel Laforce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487716817 PECOS PAC ID: 8426014168 Enrollment ID: I20041206000042 |
| Provider Name | Sudhir M Gokhale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639182678 PECOS PAC ID: 9335105063 Enrollment ID: I20050812000920 |
| Provider Name | Harcharan Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790770865 PECOS PAC ID: 0547207441 Enrollment ID: I20050816000205 |
| Provider Name | Fabienne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407143654 PECOS PAC ID: 8123180197 Enrollment ID: I20111021000030 |
| Provider Name | Debra Renee Horan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265634521 PECOS PAC ID: 0840399986 Enrollment ID: I20111206000056 |
| Provider Name | Nisha S Gokhale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679913768 PECOS PAC ID: 9335458355 Enrollment ID: I20151014001004 |
| Provider Name | Breda M O'dwyer Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619420809 PECOS PAC ID: 9032478532 Enrollment ID: I20180108002878 |
| Provider Name | Cynthia Lynn Rusnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417567546 PECOS PAC ID: 9234549452 Enrollment ID: I20201029000896 |
| Provider Name | Connie C Vaneekeren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518468727 PECOS PAC ID: 3678927613 Enrollment ID: I20230926000922 |
| Provider Name | Richard Henry Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043085871 PECOS PAC ID: 7315489846 Enrollment ID: I20240611004489 |
| Provider Name | Emma Concepcion Ico Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073374807 PECOS PAC ID: 3577096056 Enrollment ID: I20241023002645 |
| Provider Name | Lisa K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851973325 PECOS PAC ID: 8820512072 Enrollment ID: I20250409000787 |
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