Active NPI
Guriqbal S Sandhu, FNP
- Family Nurse Practitioner
- Elmhurst, IL
National Provider Identifier
1508262205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209011839
- Practice address
- 977 N Oaklawn Ave
Suite # 104
Elmhurst, IL 60126-1045 - Phone
- (630) 832-1775
- NPI assigned
- Nov 7, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209011839 | IL | Primary |
Addresses
Primary practice location
977 N Oaklawn Ave
Suite # 104
Elmhurst, IL 60126-1045
Mailing address
1992 Fescue Dr
Aurora, IL 60504-4302
Phone (815) 212-9739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209011839 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Clinical LLC | Family | Past | Accepting new patients |
Organizations & group practices 1
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": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1508262205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1992 FESCUE DR",
"city": "AURORA",
"state": "IL",
"postal_code": "605044302",
"telephone_number": "815-212-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 N OAKLAWN AVE",
"address_2": "SUITE # 104",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261045",
"telephone_number": "630-832-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "GURIQBAL",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-07",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209011839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.