DR. PUJA SHETH GOGAWALE


Address: 2850 W 95th St Ste 203, Evergreen Park, IL 60805-2734
Phone: 7084994100

DR. PUJA SHETH GOGAWALE (NPI# 1093151573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093151573
Entity Type Individual
Full Name DR. PUJA SHETH GOGAWALE
Credential M.D.
Practice Address 2850 W 95th St Ste 203
Evergreen Park
IL 60805-2734
Mailing Address 2800 W 95th St # 3n
Evergreen Park
IL 60805-2701
Practice Telephone 7084994100
Practice Fax Number 7084994132
Mailing Telephone 7082295420
Enumeration Date 2013-05-10
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 125.063473 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2850 W 95TH ST STE 203
City EVERGREEN PARK
State IL
Zip Code 60805-2734

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487254603 Cynthia Nicole Bucio Pharmacist 9400 S. Western, Evergreen Park, N/A 60805 2020-10-27
1124530456 Foundations Counseling, LLC Social Worker 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 2017-10-26
1184147886 Luke Blaeser Specialist/Technologist 2856 W. 97th Pl., Evergreen Park, IL 60805 2017-07-25
1396193322 Daniel Joseph Bierbaum Howard Emergency Medicine 2800 95th St, Emergency Department, Evergreen Park, IL 60805 2016-05-31
1588037873 Lcr Primary Care LLC Exclusive Provider Organization 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 2015-11-09
1447639091 Nancy Sanchez Social Worker 9832 S Utica Ave, Evergreen Park, IL 60805 2015-05-28
1629334743 Harshad M. Mehta Md Sc Psychiatry & Neurology 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 2012-04-03
1235407305 Victoria T Adesina Pharmacist 8700 South Kedzie Ave, Evergreen Park, IL 60805 2011-12-05
1891072922 Zahia-lena Refat Hussien Pharmacist 8700 S. Kedzie Ave, Evergreen Park, IL 60805 2011-11-03
1891079091 Denise Adams Occupational Therapy Assistant 9217 S. Kedzie, Evergreen Park, IL 60805 2011-10-06
Find all providers in zip 60805

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982085247 Timothy Brian Johnson Obstetrics & Gynecology 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 2015-06-12
1780637827 Monica M Christmas Obstetrics & Gynecology 2800 W. 95th St, 3rd Floor Tower, Evergreen Park, IL 60805 2006-05-18
1174515035 Anita Iyer Obstetrics & Gynecology 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805-2814 2005-08-17
1306156500 Jessica L Bender Obstetrics & Gynecology 2850 W 95th St, Suite 103, Evergreen Park, IL 60805-2735 2010-10-21
1467608513 Pooja Jain Doshi Obstetrics & Gynecology 2850 W 95th St, Suite 203, Evergreen Park, IL 60805-2735 2008-08-08
1376669770 Little Company of Mary Hospital Inc Obstetrics & Gynecology 2800 W 95th St, Evergreen Park, IL 60805-2701 2007-03-21
1669508446 Pablo Antonio Garzon Obstetrics & Gynecology 2850 W 95th St, Suite 203, Evergreen Park, IL 60805 2007-02-26
1124108832 Wilfredo Rendon Obstetrics & Gynecology 9730 S Western Ave, Suite 428, Evergreen Park, IL 60452 2006-10-17
1487745915 Emuata Ufok Bassey Obstetrics & Gynecology 2800 W 95th St, Evergreen Park, IL 60805-2701 2006-09-28
1073521779 Women's Healthcare of Illinois, Ltd Obstetrics & Gynecology 9730 S Western Ave, Suite 100, Evergreen Park, IL 60805-2814 2006-08-04
Find all providers in EVERGREEN PARK

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City EVERGREEN PARK
Zip Code 60805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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