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Sara M Gotheridge Md Llc
Medical Specialty Clinic/Center in Evanston, Illinois
NPI 1295351062

Sara M Gotheridge Md Llc is a Medical Specialty Clinic/Center based in Evanston, IL and is specialized in Medical Specialty. Sara M Gotheridge Md Llc practices in Evanston, IL. The NPI Number for Sara M Gotheridge Md Llc is 1295351062 and holds a License No. (Illinois).

The current practice location address for Sara M Gotheridge Md Llc is 630 Davis St Ste 301, Evanston, IL and can be reached out via phone at 312-640-7731 and via fax at 877-421-1846.

Location: 630 Davis St Ste 301, Evanston, IL, 60201-1854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295351062
Provider Name
Sara M Gotheridge Md Llc
Credential
Provider Entity Type
Organization
Address
630 Davis St Ste 301, Evanston, IL, 60201-1854
Phone Number
312-640-7731
Fax Number
877-421-1846
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
630 Davis St Ste 301
City
Evanston
State
Illinois
Zip
60201-4480
Phone Number
312-640-7731
Fax Number
877-421-1846
person
Provider Business Mailing Address Details
Address
630 Davis St Ste 301
City
Evanston
State
Illinois
Zip
60201-4480
Phone Number
312-640-7731
Fax Number
877-421-1846
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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