MEDICARE: DR. SULEYMAN YASIN GOKSU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036171420	IL
2	207Q00000X	Family Medicine Physician	036171420	IL
3	390200000X	Student in an Organized Health Care Education/Training Program
4	208D00000X	General Practice Physician	036171420	IL
5	207QG0300X	Geriatric Medicine (Family Medicine) Physician	036171420	IL
6	207QB0002X	Obesity Medicine (Family Medicine) Physician	036171420	IL

General Provider Information

NPI Number	:	1750022000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SULEYMAN YASIN GOKSU MD

Provider Business Mailing Address
First Line	:	3 ERIE CT
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-2519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 ERIE CT
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-2519
Country	:	US
Telephone Number	:	708-383-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	05/04/2026

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