Organization
HARIVADAN K GANDHI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARIVADAN K GANDHI M.D. (PRESIDENT)
(773) 488-7744
Entity
Organization
Contact information
Practice address
7845 S COTTAGE GROVE AVE, SUITE#101, CHICAGO, IL 60619-3100
(773) 488-7744
(773) 488-3669
Mailing address
143 SILO RIDGE RD N, ORLAND PARK, IL 60467-7315
(773) 488-7744
(773) 488-3669
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036072781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072781
—
IL
Enumeration date
03/13/2012
Last updated
03/13/2012
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