# JEFFREY D GINDORF PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659300473
- **Authorized official:** DR. JEFFREY GINDORF M.D. (PRESIDENT)
- **Authorized official phone:** (815) 455-9231

## Contact information

- **Practice address:** 600 S RANDALL RD, ALGONQUIN, IL 60102-5935
- **Practice address phone:** (815) 261-4093
- **Mailing address:** 6702 OAKWOOD MANOR DR, CRYSTAL LAKE, IL 60012-1196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036-078574 | IL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 04/12/2016
