Jeffrey D Gindorf Pc | |
600 S Randall Rd Algonquin IL 60102-5935 | |
(815) 261-4093 | |
Not Available |
Full Name | Jeffrey D Gindorf Pc |
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Speciality | Internal Medicine |
Location | 600 S Randall Rd, Algonquin, Illinois |
Authorized Official Name and Position | Jeffrey Gindorf (PRESIDENT) |
Authorized Official Contact | 8154559231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jeffrey D Gindorf Pc 6702 Oakwood Manor Dr Crystal Lake IL 60012-1196 Ph: () - | Jeffrey D Gindorf Pc 600 S Randall Rd Algonquin IL 60102-5935 Ph: (815) 261-4093 |
NPI Number | 1659300473 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 04/12/2016 |
Medicare PECOS PAC ID | 1153334271 |
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Medicare Enrollment ID | O20060713000070 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659300473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-078574 (Illinois) | Primary |
Provider Name | Jeffrey D Gindorf |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275527319 PECOS PAC ID: 3375457518 Enrollment ID: I20040616000741 |
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