Sara M Gotheridge is a Psychiatry in Chgo, Illinois. Sara M Gotheridge practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Sara M Gotheridge is 1275630238. The last update date is 2019-09-25.
Sara M Gotheridge's current location address is 625 N. Michigan Ave, Chgo, Illinois. You can contact this provider via phone number 3126407728 and fax number 3126407736. The mailing address for Sara M Gotheridge is 625 N. Michigan Ave, Chgo, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sara M Gotheridge |
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Address | 625 N. Michigan Ave, Chgo, Illinois |
Phone Number | 3126407728 |
Fax Number | 3126407736 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1275630238 |
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Provider Enumeration Date | 2006-09-20 |
Last Updated Date | 2019-09-25 |
Provider Mailing Address Detail
Address | 625 N. Michigan Ave |
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City | Chgo |
State | Illinois (IL) |
Post Code | 60611 |
Phone Number | 3126407728 |
Fax Number | 3126407736 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | 36106285 |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code issued to Sara M Gotheridge by the Centers for Medicare & Medicaid Services?
The Sara M Gotheridge has been assigned the NPI (National Provider Identifier) 1275630238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Sara M Gotheridge is located?
The Sara M Gotheridge is situated at the following address: 625 N. Michigan Ave, Chgo, IL, 60611.
What is the Sara M Gotheridge's specialty and taxonomy code?
The Sara M Gotheridge's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date was the 1275630238 assigned to Sara M Gotheridge?
The Sara M Gotheridge was issued its 1275630238 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Sara M Gotheridge most recently updated or revised?
The information pertaining to Sara M Gotheridge, including its address, specialty, and other relevant details, was last updated or revised on 2019-09-25.
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