Individual ProviderPuja Sheth GogawaleObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address1701 W Superior St Fl 2, Chicago, IL 60622-5646(312) 666-3494(312) 926-2000PECOS EnrollmentBased on the most recent information from CMS, provider Puja Sheth Gogawale is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1093151573Provider TypeIndividualFull NameGogawale, Puja ShethTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/10/2013Last Updated9/26/2023Contact InformationPractice LocationPractice Address1701 W Superior St Fl 2, Chicago, IL 60622-5646Phone(312) 666-3494FaxUnlisted FaxMailing LocationMailing Address250 E Superior St, Chicago, IL 60611-2914Phone(312) 926-2000Fax(312) 472-0141Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense036143697IllinoisCode207V00000XDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense125.063473Illinois