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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SRECHARAN SHIVA GORUKANTI, MD

Active

DR. SRECHARAN SHIVA GORUKANTI, MD is a Physical Medicine & Rehabilitation healthcare provider located in OAK LAWN, Illinois. NPI 1396373502 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · OAK LAWN, IL

Registration Details

NPI Number
1396373502
Provider Type
Individual
Gender
Male
NPI Issued
Apr 1, 2020 (6.4176509244717 yrs)
Last Updated
Nov 5, 2024
Licenses
61158152 (WA)
036-171652 (IL)

Practice Information

Address
4400 W 95TH ST STE 306
OAK LAWN, IL, 604532659
Browse IL providers · Browse ZIP 60453
Phone
7086845428
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in OAK LAWN, IL

Name Credential NPI
DOUGLAS KOLTUN MD 1326034828
ROY ADAIR MD 1689660185
SHARI S LUDWIG MD 1073509584
KATHLEEN W FLORENCE MD 1477549889
WILLIAM ADAIR MD 1932195716
MYOUNG DUCK KIM MD 1871654293
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.