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SARA M GOTHERIDGE MD LLC
NPI 1295351062
Clinic/Center - Medical Specialty in Evanston, IL

Active since June 17, 2020
630 DAVIS ST STE 301, EVANSTON, IL 60201(312) 640-7731(877) 421-1846 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sara M Gotheridge Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA M GOTHERIDGE MD LLC (NPI 1295351062) is a healthcare organization registered as a medical specialty in Evanston, Illinois and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Chicago and lists Sara Margaret Gotheridge, President, as its authorized official.

NPPES Registry Identity

NPI1295351062
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSARA M GOTHERIDGE MD LLC
Location Address630 DAVIS ST STE 301Evanston, IL 60201-4480
Mailing Address2412 Lawndale AveEvanston, IL 60201-1854 · (312) 608-4996 · Fax (877) 421-1846
Phone(312) 640-7731
Fax(877) 421-1846
Organization SubpartNo
Authorized OfficialSara Margaret GotheridgePresident · (312) 640-7731
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1295351062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
630 DAVIS ST STE 301, Evanston, IL 60201
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Secondary Practice Location 1

Location 1180 N Michigan Ave Ste 2200Chicago, IL 60601-7477 · Phone (312) 640-7731 · Fax (877) 421-1846

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARKIN RICHARDS NP
Psychiatry & Neurology (Psychiatry)
630 DAVIS ST STE 301
EVANSTON, IL 60201
Cook County (224) 470-1499
BIRDSONG BEHAVIORAL HEALTH
Psychiatry & Neurology (Psychiatry)
630 DAVIS ST STE 301
EVANSTON, IL 60201
Cook County (224) 470-1499
SARAH TOLAN-MEE MSMT
Health and Wellness Coach
630 DAVIS ST STE 301
EVANSTON, IL 60201
Cook County (917) 225-5262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara M Gotheridge MD LLC's NPI number?

The NPI number for Sara M Gotheridge MD LLC is 1295351062. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Sara M Gotheridge MD LLC located?

Sara M Gotheridge MD LLC is located at 630 Davis St Ste 301, Evanston, IL 60201. The listed phone number is (312) 640-7731.

What is Sara M Gotheridge MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Sara M Gotheridge MD LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.