IndividualActive
Mrugendra Gandhi, M.D.
NPI 1528050978 · Surgery Physician · Fox Lake, IL
Provider details
- NPI number
- 1528050978
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 36 51634 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
208 E Grand Ave
Fox Lake, IL 60020-1604
Phone: (224) 715-5571
Street-level locationGet directions
Mailing address
108 Legion Dr
Las Vegas, NM 87701-4898
Registry dates
- Enumerated
- 2005-08-20
- Last updated
- 2016-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.