Mrugendra M. Gandhi, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36 51634 Issued in IL

Practice address

208 E Grand Ave
Fox Lake, IL 60020-1604

Phone

(224) 715-5571

NPI assigned

Aug 20, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Care of North Chicago, LTD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1285760546
  NPD (past)
• Utah Navajo Health System, Incorporated

  • Land Ambulance
  • Montezuma Creek, UT
  • NPI 1598198434
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528050978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LEGION DR",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014898",
            "telephone_number": "847-816-4957",
            "fax_number": "847-816-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E GRAND AVE",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201604",
            "telephone_number": "224-715-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "MRUGENDRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "36 51634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everspring Counseling PLLC
• Alex James Ferenc, PT, DPT
• Fox Lake Fire Protection District
• Ashley Rae Gallina, APRN, CNM, FNP-C
• Altijana Gallup, PHARMD
• Eva Angelica Garcia, LSW
• Grant Community High School District 124
• Lizbeth Guzman
• Carlton Bruce Hagstrom, D.D.S.
• Mackenzie Hansen

• Surgery Physician in Fox Lake, IL
• Providers in Fox Lake, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.