Individual
SANJAY GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 GREENLEAF AVE STE E, PARK CITY, IL 60085-5701
(847) 234-1100
(847) 775-0703
Mailing address
351 GREENLEAF AVE STE E, PARK CITY, IL 60085-5701
(847) 234-1100
(847) 775-0703
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036-101308
IL
207VG0400X
Gynecology Physician
036101308
IL
208800000X
Urology Physician
036101308
IL
Other
Enumeration date
01/13/2007
Last updated
12/18/2021
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