Organization
SUDHIR M GOKHALE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR GOKAHLE (MD)
(708) 636-2211
Entity
Organization
Contact information
Practice address
10735 S CICERO AVE STE 100, OAK LAWN, IL 60453-6210
(708) 636-2211
(708) 636-5552
Mailing address
10735 S CICERO AVE STE 100, OAK LAWN, IL 60453-6210
(708) 636-2211
(708) 636-5552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
036058650
IL
2084P0800X
Psychiatry Physician
Primary
036058650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058650
—
IL
Enumeration date
01/25/2007
Last updated
11/05/2025
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