Active NPI
Mandeep Kaur Sidhu, MD
- Geriatric Medicine (Internal Medicine) Physician
- Chicago, IL
National Provider Identifier
1790337483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 036.161076
- Practice address
- Ui Health, Graduate Medical Education Office
820 South Wood Street, Suite 100, MC 675
Chicago, IL 60612 - Phone
- (312) 996-2933
- NPI assigned
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 036.161076 | IL | Primary |
Addresses
Primary practice location
Ui Health, Graduate Medical Education Office
820 South Wood Street, Suite 100, MC 675
Chicago, IL 60612
Mailing address
Ui Health, Graduate Medical Education Office
820 South Wood Street, Suite 100, MC 675
Chicago, IL 60612
Phone (312) 996-2933
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.161076 | IL | MD | Geriatric Medicine (Internal Medicine) Physician |
Interoperability endpoints
- msidhu135961@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665273600000",
"number": "1790337483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UI HEALTH, GRADUATE MEDICAL EDUCATION OFFICE",
"address_2": "820 SOUTH WOOD STREET, SUITE 100, MC 675",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UI HEALTH, GRADUATE MEDICAL EDUCATION OFFICE",
"address_2": "820 SOUTH WOOD STREET, SUITE 100, MC 675",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "MANDEEP",
"middle_name": "KAUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2022-10-09",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IL",
"license": "036.161076",
"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 Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.