Organization
GANDHI MOHANDAS GUTTA, M.D.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANDHI MOHANDAS GUTTA M.D (PRESIDENT)
(630) 627-1990
Entity
Organization
Contact information
Practice address
29 N TOWER RD, OAK BROOK, IL 60523-1103
(630) 627-1990
(630) 627-7757
Mailing address
29 N TOWER RD, OAK BROOK, IL 60523-1103
(630) 627-1990
(630) 627-7757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36053064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36053064
—
IL
Enumeration date
11/09/2006
Last updated
08/22/2020
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