Individual
KHUSHABU GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
220 SPRINGFIELD DR STE 210, BLOOMINGDALE, IL 60108-2215
(630) 893-2210
(630) 307-0482
Mailing address
POB 7132960, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041463911
IL
363L00000X
Nurse Practitioner
Primary
209-019157
IL
363LF0000X
Family Nurse Practitioner
101920
WI
363LF0000X
Family Nurse Practitioner
209-019157
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100286479
—
WI
Enumeration date
04/19/2019
Last updated
08/14/2025
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