Active NPI
Chhavi Gandhi, MD
- Allergy Physician
- Western Springs, IL
National Provider Identifier
1215192604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 036123733
- Practice address
- 5600 Wolf Rd
Suite 135
Western Springs, IL 60558-2254 - Phone
- (708) 246-4515
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 036123733 | IL | Primary |
Addresses
Primary practice location
5600 Wolf Rd
Suite 135
Western Springs, IL 60558-2254
Mailing address
5600 Wolf Rd
Suite 135
Western Springs, IL 60558-2254
Phone (708) 246-4515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091016000538 | IL | Practitioner - Allergy/Immunology | 3577600923 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036123733 | IL | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1215192604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 WOLF RD",
"address_2": "SUITE 135",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605582254",
"telephone_number": "708-246-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 WOLF RD",
"address_2": "SUITE 135",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605582254",
"telephone_number": "708-246-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "CHHAVI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "036123733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.