Provider Demographics
NPI:1881868669
Name:GANDHI, PRILI D (MD)
Entity Type:Individual
Prefix:
First Name:PRILI
Middle Name:D
Last Name:GANDHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1300 GREENBROOK BLVD
Mailing Address - Street 2:STE 204
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-5456
Mailing Address - Country:US
Mailing Address - Phone:630-830-8100
Mailing Address - Fax:847-852-9259
Practice Address - Street 1:14688 EVERTON AVE
Practice Address - Street 2:HE HUGO CLINIC
Practice Address - City:HUGO
Practice Address - State:MN
Practice Address - Zip Code:55038
Practice Address - Country:US
Practice Address - Phone:651-326-7701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN51110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine