Individual ProviderDivya GandhiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9000 Waukegan Rd Ste 100, Morton Grove, IL 60053-2128(847) 779-6050(847) 324-3976PECOS EnrollmentBased on the most recent information from CMS, provider Divya Gandhi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376376871Provider TypeIndividualFull NameGandhi, DivyaGenderFemaleSole ProprietorNoEnumeration Date8/21/2024Last Updated8/21/2024Contact InformationPractice LocationPractice Address9000 Waukegan Rd Ste 100, Morton Grove, IL 60053-2128Phone(847) 779-6050Fax(847) 929-1167Mailing LocationMailing Address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359Phone(847) 324-3976Fax(847) 929-1154Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer