Gandhi, Manish R

Gandhi, Manish R is an individual health care provider with primary practice located at 716 Midwest Club Pkwy , Oak Brook IL 60523-2531. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gandhi, Manish R can be contacted via phone (312) 433-2222.

Contact Information

Primary practice address
716 Midwest Club Pkwy Oak Brook IL 60523-2531
Phone: (312) 433-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19015777 Illinois

Profile Details

NPI number 1255393773
LBN Legal business name Gandhi, Manish R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1255393773 NPPES
Illinois MEDICAID 19015777

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