Individual
DR. SUJITH KOCHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-6020
(847) 318-2341
Mailing address
885 ROOSEVELT RD STE 100, GLEN ELLYN, IL 60137-6141
(630) 938-6000
(630) 384-6229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.163582
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036163582
IL
207R00000X
Internal Medicine Physician
036.163582
IL
208000000X
Pediatrics Physician
036.163582
IL
Other
Enumeration date
04/09/2020
Last updated
11/17/2025
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