Organization
SHERRIE C. GODBOLT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRIE CECILE GODBOLT M.D. (PSYCHIATRIST)
(708) 362-5084
Entity
Organization
Contact information
Practice address
15475 S PARK AVE, SUITE 111, SOUTH HOLLAND, IL 60473-1328
(708) 362-5084
(708) 596-6985
Mailing address
15475 S PARK AVE, SUITE 111, SOUTH HOLLAND, IL 60473-1328
(708) 362-5084
(708) 596-6985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036098066
IL
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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