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Individual

DR. MRUGENDRA M. GANDHI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
208 E GRAND AVE, FOX LAKE, IL 60020-1604
(224) 715-5571
Mailing address
108 LEGION DR, STE A, LAS VEGAS, NM 87701-4898
(847) 816-4957
(847) 816-1517

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36 51634
IL

Other

Enumeration date
08/20/2005
Last updated
04/13/2016
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