SARA M GOTHERIDGE MD LLC

EVANSTON, IL
NPI1295351062
Entity TypeOrganization
Authorized ContactSARA MARGARET GOTHERIDGE
President
312-640-7731
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center Medical Specialty
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
SARA M GOTHERIDGE MD LLC
630 DAVIS ST STE 301
EVANSTON, IL 60201-4480
Phone number: 312-640-7731
Mailing Address
SARA M GOTHERIDGE MD LLC
2412 LAWNDALE AVE
EVANSTON, IL 60201-1854
Phone number: 312-608-4996
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