Inderjit K Dhaliwal

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61263611 Issued in WA

Practice address

2800 N Lake Shore Dr Apt 2415
Chicago, IL 60657-6248

Phone

(773) 967-8242

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1871069773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13929 SE 155TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980587823",
            "telephone_number": "773-967-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N LAKE SHORE DR APT 2415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576248",
            "telephone_number": "773-967-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "INDERJIT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61263611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DH Medical Group SC
• Ryan M Dhaemers, M.D.
• Reshma Dhake, D.D.S.
• Jayshree Dhali, M.D.
• Balraj Dhaliwal
• Jasmeet S Dhaliwal, M.D.
• Jasmine K Dhaliwal, MD
• Preet Kanwal Dhaliwal
• Symren Dhaliwal
• Shweta Dhamani

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.