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Individual
DR. MARY Y GINDI
Active
Individual
DR. MARY Y GINDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36100736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100736
—
IL
01
—
060657
HEALTH ALLIANCE
IL
01
—
09232019
BLUE CROSS BLUE SHIELD
IL
01
—
171041
PERSONAL CARE
IL
05
—
371404796001
—
IL
05
—
371404796002
—
IL
Enumeration date
05/12/2006
Last updated
07/20/2011
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