Individual
DR. MONA YOGESH GANDHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 FOXFIELD RD STE 200, ST. CHARLES, IL 60174
(630) 315-6500
(630) 315-6519
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 315-6500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036134857
IL
207R00000X
Internal Medicine Physician
036134857
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036134857
—
IL
01
—
206147
MEDICARE GROUP
IL
01
—
F400463345
MEDICARE INDIVIDUAL
IL
Enumeration date
11/18/2007
Last updated
06/21/2018
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