Gindi, Mary Y

Gindi, Mary Y is an sole proprietor health care provider with primary practice located at 511 W Fairchild St , Danville IL 61832-3801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gindi, Mary Y can be contacted via phone (217) 431-2025.

Contact Information

Primary practice address
511 W Fairchild St Danville IL 61832-3801
Phone: (217) 431-2025
Fax: (217) 431-0014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36100736 Illinois

Profile Details

NPI number 1417907031
LBN Legal business name Gindi, Mary Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jul 20th, 2011 - about 13 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 1417907031 NPPES
Illinois MEDICAID 371404796001
Illinois Other 171041
Illinois MEDICAID 371404796002
Illinois MEDICAID 036100736
Illinois Other 09232019
Illinois Other 060657

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