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Jigna D Gandhi

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

804 E Woodfield Rd, Suite 300, Schaumburg, IL 60173-4776

PECOS Enrollment

This provider is enrolled in PECOS as JIGNA GANDHI.

Based on the most recent information from CMS, provider Jigna D Gandhi is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:50 AM.

Profile Details

Provider ID
1588039770
Provider Type
Individual
Full Name
Gandhi, Jigna D
Title
Mrs.
Credential
MSN, NP -C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/14/2015
Last Updated
3/17/2018

Contact Information

Practice Location

804 E Woodfield Rd, Suite 300, Schaumburg, IL 60173-4776

(847) 605-9500

(847) 605-8700

Mailing Location

808 E Woodfield Rd, Suite 100, Schaumburg, IL 60173-4816

(847) 605-0030

(847) 637-0737

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 209013652 Illinois

Provider Identifiers

ID	Description	Issuer
ID 3317785645001	Description Medicaid	Issuer Unlisted Illinois

Jigna D Gandhi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Basaka, Louis

Sunny, Geetha

Mutyala, Kalpana

Patel, Anita

Siby, Lisa K

Taj, Mehrunnissa

Patel, Binaki

Calabazaron, Arvie

Woundcare Unlimited