Individual
SANGRAG GANGULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE # MC6040, CHICAGO, IL 60637-1443
(847) 754-1978
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(847) 754-1978
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.081602
IL
Other
Enumeration date
03/13/2022
Last updated
05/04/2023
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