Organization
JEFFREY D GINDORF PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GINDORF M.D. (PRESIDENT)
(815) 455-9231
Entity
Organization
Contact information
Practice address
600 S RANDALL RD, ALGONQUIN, IL 60102-5935
(815) 261-4093
Mailing address
6702 OAKWOOD MANOR DR, CRYSTAL LAKE, IL 60012-1196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-078574
IL
Other
Enumeration date
07/02/2006
Last updated
04/12/2016
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