| Sherrie C. Godbolt Md Sc | |
|
15475 S Park Ave Suite 111 South Holland IL 60473-1328 | |
| (708) 362-5084 | |
| (708) 596-6985 |
| Full Name | Sherrie C. Godbolt Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15475 S Park Ave, South Holland, Illinois |
| Authorized Official Name and Position | Sherrie Cecile Godbolt (PSYCHIATRIST) |
| Authorized Official Contact | 7083625084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherrie C. Godbolt Md Sc 15475 S Park Ave Suite 111 South Holland IL 60473-1328 Ph: (708) 362-5084 | Sherrie C. Godbolt Md Sc 15475 S Park Ave Suite 111 South Holland IL 60473-1328 Ph: (708) 362-5084 |
| NPI Number | 1073767505 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073767505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036098066 (Illinois) | Primary |
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