Individual provider Active NPI

Gurmukh Singh, PA-C

  • Medical Physician Assistant
  • Mount Prospect, IL
National Provider Identifier
1356616288
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085-004305 Issued in IL
Practice address
1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone
(224) 265-9010
NPI assigned
Mar 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085-004305 IL Primary

Addresses

Primary practice location

1754 W Golf Rd
Mount Prospect, IL 60056-4071

Mailing address

1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone (224) 265-9010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gurmukh.singh.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120531000325 IL Practitioner - Physician Assistant 9133382161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Urgent Care Professionals PLLCGroup PAC ID 9830437946, 36 clinicians

Practice addresses (Care Compare)

17960 Halsted St
Homewood, IL 60430-2014
Phone (708) 922-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-004305ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Urgent Care Professionals PLLC CurrentSince Jan 7, 2026 Accepting new patients
Emergency Medicine Physicians of Chicago, LLC Past Accepting new patients
Clinic 1, LLC PastSince Aug 1, 2015 Accepting new patients
Community Health Providers PLLC PastSince Jan 7, 2026 Accepting new patients
House Physicians LLC PastSince Jul 1, 2016 Accepting new patients
Care at Home Physicians, LLC PastSince Jul 1, 2013 Accepting new patients
24 Ihim LLC PastSince Jul 25, 2019 Accepting new patients

Locations

7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101

17960 Halsted St
Homewood, IL 60430
Phone (708) 923-0911

2015 Sheridan Rd
Zion, IL 60099
Phone (224) 447-0370

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1356616288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 W GOLF RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564071",
            "telephone_number": "224-265-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 W GOLF RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564071",
            "telephone_number": "224-265-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GURMUKH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-10",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-004305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gurmukh.singh.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1754 W Golf Rd",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600564071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.