Individual
DR. THERESA CATHERINE GANDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 W CENTRAL RD, NORTHWEST COMMUNITY HOSPITAL - EMERGENCY DEPT., ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-3040
(847) 618-3049
Mailing address
800 W CENTRAL RD, NORTHWEST COMMUNITY HOSPITAL - EMERGENCY DEPT., ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-3040
(847) 618-3049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01083194A
IN
207P00000X
Emergency Medicine Physician
Primary
036121957
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036121957
036121957 - IL STATE PERMANENT PHYSICIAN LICENSE NUMBER
IL
Enumeration date
10/21/2008
Last updated
12/10/2024
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