Active NPI
Pawandeep Dhillon, MD
- Student in an Organized Health Care Education/Training Program
- Rockford, IL
National Provider Identifier
1447601927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 125068930
- Practice address
- 1221 E State St
Rockford, IL 61104-2231 - Phone
- (815) 972-1000
- Fax
- (815) 972-1093
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125068930 | IL | Primary |
Addresses
Primary practice location
1221 E State St
Rockford, IL 61104-2231
Mailing address
1221 E State St
Rockford, IL 61104-2231
Phone (815) 972-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1447601927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042231",
"telephone_number": "815-972-1000",
"fax_number": "815-972-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042231",
"telephone_number": "815-972-1000",
"fax_number": "815-972-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHILLON",
"first_name": "PAWANDEEP",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125068930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
- David E. Deutsch, MD
- Audrey Devita, RPH
- Preeti A Devnani, MD
- Marley Vea Devoss
- Manpreet Kaur Dhaliwal, OD
- Dialysis Care Center Rockford LLC
- Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Rockford)
- Dialysis of Northern Illinois LLC (Roxbury Dialysis Center)
- Dialysis of Northern Illinois LLC (Owen Center Home Training)
- Diamond Enterprize LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.