Active NPI
Dr. Raja Gill SC
- Psychiatry Physician
- Westchester, IL
National Provider Identifier
1386876183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DR. RAJA GILL SC
- Practice address
- 1127 S Mannheim Rd
116
Westchester, IL 60154-2570 - Phone
- (708) 632-5612
- NPI assigned
- Aug 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anita Singh
- Title
- Manager
- Phone
- (708) 632-5612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1127 S Mannheim Rd
116
Westchester, IL 60154-2570
Mailing address
1127 S Mannheim Rd
116
Westchester, IL 60154-2570
Phone (708) 632-5612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090821000157 | IL | Part B Supplier - Clinic/Group Practice | 0345394557 |
Receives reassigned benefits from 4 practitioners Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryLocations
2266 N Lincoln Ave
Ste 3
Chicago, IL 60614
Phone (773) 327-8008
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lincolnshire, IL
- NPI 1316826696
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250121600000",
"number": "1386876183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 S MANNHEIM RD",
"address_2": "116",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542570",
"telephone_number": "708-632-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 S MANNHEIM RD",
"address_2": "116",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542570",
"telephone_number": "708-632-5612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. RAJA GILL SC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "708-632-5612",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.