Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Srecharan Shiva Gorukanti, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1396373502

Dr. Srecharan Shiva Gorukanti, MD is a Physical Medicine and Rehabilitation in Oak Lawn, Illinois. Graduated from Saint Louis University School of Medicine in 2020, 6 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois and Washington.

Years since qualifying
6
Trained at
Saint Louis University School of Medicine
Licensed in
IL, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4400 W 95th St Ste 306
Oak Lawn, IL 60453-2659
Phone: (708) 684-5428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 036-171652 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 61158152 (WA)

Record details

NPI number1396373502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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