Active NPI
Dilraj Singh Sidhu, M.D.
- Internal Medicine Physician
- Grayslake, IL
National Provider Identifier
1811953722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42662020
- Practice address
- 480 S US Highway 45
Abbvie
Grayslake, IL 60030-3910 - Phone
- (847) 935-4326
- NPI assigned
- Apr 21, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42662020 | WI | Primary |
Addresses
Primary practice location
480 S US Highway 45
Abbvie
Grayslake, IL 60030-3910
Mailing address
7550 S Cambridge Dr
Franklin, WI 53132-8253
Phone (414) 425-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34051700 | Medicaid | WI |
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 |
|---|---|---|---|
| 42662020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Cogent Healthcare of Wisconsin, SC | Internal Medicine | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1487696084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483747200000",
"number": "1811953722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 S CAMBRIDGE DR",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328253",
"telephone_number": "414-425-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 S US HIGHWAY 45",
"address_2": "ABBVIE",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303910",
"telephone_number": "847-935-4326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "DILRAJ",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2017-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "42662020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34051700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.