Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRUDENCE L GOURGUECHON, M.D.
Active Sole ProprietorDR. PRUDENCE L GOURGUECHON, M.D. is a Psychiatry healthcare provider located in NORTHFIELD, Illinois. NPI 1912085259 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · NORTHFIELD, IL
Registration Details
- NPI Number
- 1912085259
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2006 (19.824622536611 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
540 W FRONTAGE RDSUTIE 2120NORTHFIELD, IL, 600931250Browse IL providers · Browse ZIP 60093
- Phone
- 8474411395
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in NORTHFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ANJUM MUJAHID | MD | 1306811948 |
| DR. SUSAN CRIFASE LIN | M.D. | 1700826112 |
| GEOFFREY SYDNEY SHAW | MD | 1184730053 |
| DR. GILLA PRIZANT DAVIS | MD | 1720135502 |
| DR. NATHAN NORMAN BIRNBERG | M.D. | 1841330909 |
| NEIL JOSEPH FIALKOW | M.D. | 1508982174 |
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.