Active NPI
Lincoln Park Heart Center, S.C.
- Cardiovascular Disease Physician
- Chicago, IL
National Provider Identifier
1396801536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036048281
- Legal business name
- LINCOLN PARK HEART CENTER, S.C.
- Practice address
- 2266 N Lincoln Ave
Third Floor
Chicago, IL 60614-3718 - Phone
- (773) 327-8008
- Fax
- (773) 327-0790
- NPI assigned
- Dec 30, 2006
- Last updated
- Jul 25, 2024
- 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
- Dr. Sukhjit Singh Gill, M.D.
- Title
- President
- Phone
- (773) 327-8008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036048281 | IL | Primary |
| Interventional Cardiology Physician | 207RI0011X | 036048281 | IL |
Addresses
Primary practice location
2266 N Lincoln Ave
Third Floor
Chicago, IL 60614-3718
Mailing address
62 Baybrook LN
Oak Brook, IL 60523-1640
Phone (773) 327-8008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036048281 | Medicaid | IL | |
| 2201358 | Other | IL | BCBS |
Other names 1
- SUKHJIT S GILL MD SC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Chicago, IL
- NPI 1619163565
-
- Psychiatry Physician
- Chicago, IL
- NPI 1851540165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1396801536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 BAYBROOK LN",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231640",
"telephone_number": "773-327-8008",
"fax_number": "773-327-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2266 N LINCOLN AVE",
"address_2": "THIRD FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143718",
"telephone_number": "773-327-8008",
"fax_number": "773-327-0790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN PARK HEART CENTER, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-30",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "SUKHJIT",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-327-8008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036048281",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036048281",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036048281",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2201358",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUKHJIT S GILL MD SC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Chicago, IL
- Lincoln Park Dialysis Services Inc (Kennedy Home Dialysis)
- Lincoln Park Dialysis Services Inc (Skyline Home Dialysis)
- Lincoln Park Dialysis Services Inc
- Lincoln Park Eyes LLC
- Lincoln Park Family Physicians SC
- Lincoln Park Home Health Care, Inc.
- Lincoln Park OBGYN SC
- Lincoln Park Open MRI, LLC (Lake Shore Open MRI & CT)
- Lincoln Park Oral & Cosmetic Surgery (Lincoln Park Institute)
- Lincoln Park Orthopedics S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.