SearchIllinois101YA0400X

Kirk Gohsman, ICADC, CRADC

NPI 1679850887 · on the registry since 2011

Practice

Address
106 S. Country Fair Drive
Suite C
Champaign, IL 61821
Phone
(217) 373-8200
Fax
(217) 373-5233
Organisation at this address
Champaign Treatment Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois