Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MRUGENDRA M. GANDHI M.D.
NPI 1528050978
Surgery in Fox Lake, IL

Active since August 20, 2005
208 E GRAND AVE, FOX LAKE, IL 60020(224) 715-5571 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mrugendra M. Gandhi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MRUGENDRA M. GANDHI M.D. (NPI 1528050978) is an individual surgery provider in Fox Lake, Illinois, licensed in Illinois (36 51634) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1528050978
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MRUGENDRA M. GANDHICredential: M.D.
Location Address208 E GRAND AVEFox Lake, IL 60020-1604
Mailing Address108 Legion Dr, Ste ALas Vegas, NM 87701-4898 · (847) 816-4957 · Fax (847) 816-1517
Sole ProprietorNo
Enumeration DateAugust 20, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1528050978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 36 51634
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

208 E GRAND AVE, Fox Lake, IL 60020

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528050978, enumerated as an "individual" on August 20, 2005.

The provider is located at 208 E GRAND AVE FOX LAKE, IL 60020 and the phone number is (224) 715-5571.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.