Organization Active NPI

Gurbax Singh Saini MD

  • Internal Medicine Physician
  • Island Lake, IL
National Provider Identifier
1649499112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GURBAX SINGH SAINI MD
Practice address
27979 N Converse Rd
Island Lake, IL 60042-8103
Phone
(847) 526-8830
Fax
(847) 526-8985
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gurbax Singh Saini, MDNPI 1124049598
Title
Doctor
Phone
(847) 526-8830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

27979 N Converse Rd
Island Lake, IL 60042-8103

Mailing address

27979 Converse Road
Island Lake, IL 60042-8103
Phone (847) 526-8830

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1027298Gurbax Saini27979 Converse Rd, Island Lake, IL 60042Certificate of waiverJun 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649499112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27979 CONVERSE ROAD",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600428103",
            "telephone_number": "847-526-8830",
            "fax_number": "847-526-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27979 N CONVERSE RD",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600428103",
            "telephone_number": "847-526-8830",
            "fax_number": "847-526-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURBAX SINGH SAINI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "GURBAX",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-526-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.