| Ms Sujatha R Gogula, PA | |
|
431 W Liberty St, Wauconda, IL 60084-2452 | |
| (847) 526-2151 | |
| (815) 678-4184 |
| Full Name | Ms Sujatha R Gogula |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 431 W Liberty St, Wauconda, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740431758 | NPI | - | NPPES |
| 085003332 | Other | IL | STATE LICENSE FROM ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085003332 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medicine Specialists S.c. | 0042206252 | 26 |
| Family Medicine Specialists Of Round Lake Incorporated S C | 6002957511 | 18 |
| Family Medicine Specialists Of Mount Prospect S C | 8224166566 | 11 |
| Physicians Immediate Care North Chicago Pllc | 8729064159 | 208 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sujatha R Gogula, PA 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Ms Sujatha R Gogula, PA 431 W Liberty St, Wauconda, IL 60084-2452 Ph: (847) 526-2151 |
Shaily Gaudani, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 | |
Mrs. Kimberly Lynn Swarbrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Stephanie Schroeder, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Mr. Kenneth Degner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Rebecca A Patzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Ms. Stacie Wharton, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 West Liberty Street, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 815-678-4184 |