Individual
ANANDITA GOEL GEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1975 LIN LOR LN, SUITE 205, ELGIN, IL 60123-4902
(847) 742-4111
(847) 742-4545
Mailing address
1975 LIN LOR LN, SUITE 205, ELGIN, IL 60123-4902
(847) 742-4111
(847) 742-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-094388
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094388
—
IL
Enumeration date
07/27/2006
Last updated
10/13/2020
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