OrganizationActive
Omnidoc Health Inc
NPI 1477167112 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Park City, IL
Provider details
- NPI number
- 1477167112
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sanjay Gandhi, Medical Director(847) 234-7111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
351 Greenleaf St Ste E
Park City, IL 60085-5701
Phone: (847) 234-7111
Approximate (ZIP-level) locationGet directions
Mailing address
351 Greenleaf St Ste E
Park City, IL 60085-5701
Additional practice locations (1)
- 101 Convention Center DrLas Vegas, NV 89109-2001Phone: (847) 234-7111
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2021-12-18
- Certified
- 2021-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.