Gandhi, Neelam R

Gandhi, Neelam R is an individual health care provider with primary practice located at 260 E Congress Pkwy Ste A , Crystal Lake IL 60014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gandhi, Neelam R can be contacted via phone (815) 477-0300.

Contact Information

Primary practice address
260 E Congress Pkwy Ste A Crystal Lake IL 60014
Fax: (815) 477-0301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036106464 Illinois

Profile Details

NPI number 1780635318
LBN Legal business name Gandhi, Neelam R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780635318 NPPES
Illinois Other 036106464 STATE LICENSE
Illinois MEDICAID 036106464 STATE LICENSE

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