Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 036123733 | IL |
NPI | 1215192604 |
---|---|
Provider Name | Chhavi Gandhi |
First Address | Western Springs, IL 60558-2254 |
Second Address | Western Springs, IL 60558-2254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 03/01/2017 |