Organization Active NPI

Gurlakh Physicians Services LLC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1518328947
Registry record updated Mar 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036137608 Issued in IL
Legal business name
GURLAKH PHYSICIANS SERVICES LLC
Practice address
165 N Canal St
513
Chicago, IL 60606-1549
Phone
(641) 751-0731
Fax
(773) 751-2250
NPI assigned
Mar 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amandeep S Randhawa, MD
Title
MBR
Phone
(641) 751-0731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036137608 IL Primary

Addresses

Primary practice location

165 N Canal St
513
Chicago, IL 60606-1549

Mailing address

165 N Canal St
513
Chicago, IL 60606-1549
Phone (641) 751-0731

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457740800000",
    "number": "1518328947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N CANAL ST",
            "address_2": "513",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061549",
            "telephone_number": "641-751-0731",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N CANAL ST",
            "address_2": "513",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061549",
            "telephone_number": "641-751-0731",
            "fax_number": "773-751-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURLAKH PHYSICIANS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-12",
        "last_updated": "2016-03-12",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "641-751-0731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036137608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 12, 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.

Verify at the official NPI Registry.