Organization
OMNIDOC HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY GANDHI MD (MEDICAL DIRECTOR)
(847) 234-7111
Entity
Organization
Contact information
Practice address
351 GREENLEAF ST STE E, PARK CITY, IL 60085-5701
(847) 234-7111
Mailing address
351 GREENLEAF ST STE E, PARK CITY, IL 60085-5701
(847) 234-7111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VG0400X
Gynecology Physician
—
—
208800000X
Urology Physician
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
12/18/2021
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