=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316885239
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOOKH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2026
-----------------------------------------------------
Last Update Date | 03/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2024 W 79TH ST
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60620-5720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-635-0577
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4755 KARNS AVE
-----------------------------------------------------
City | LISLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60532-1666
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 224-522-6618
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DHRUVIL J PANDYA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 224-522-6618
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------