Individual
DR. JEFFREY DEAN GINDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 S RANDALL RD, ALGONQUIN, IL 60102-5935
(847) 658-4793
(815) 261-5964
Mailing address
600 S RANDALL RD, ALGONQUIN, IL 60102-5935
(847) 658-4793
(815) 261-5964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078574
—
IL
Enumeration date
09/06/2005
Last updated
04/26/2016
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