Organization Active NPI

Lincoln Park Heart Center, S.C.

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1396801536
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036048281 Issued in IL
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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.NPI 1619163565
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036048281MedicaidIL
2201358OtherILBCBS

Other names 1

  • SUKHJIT S GILL MD SC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091217000243 IL Part B Supplier - Clinic/Group Practice 4486794765 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.