Omnidoc Health INC

NPI #1477167112 in Park City, Illinois

Provider Information

NPI Number: 1477167112
Entity Type: Organization
Organization Name: Omnidoc Health INC
Primary Specialty: Urology - Urogynecology and Reconstructive Pelvic Surgery
Enumeration Date: Sep 1, 2020
Last Updated: Dec 18, 2021

Practice Location

Address: 351 GREENLEAF ST STE E
City: Park City
State: Illinois
ZIP Code: 60085-5701
Phone: (847) 234-7111

Authorized Official

Name: SANJAY GANDHI, MD
Title: MEDICAL DIRECTOR
Phone: (847) 234-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	207VF0040X
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
Urology	208800000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Urology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	2088F0040X	Primary

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