Gagandeep Cheema
Individual provider Active NPI Physical Therapist · Roselle, IL
NPI 1962830810 · NPPES record last updated Oct 30, 2013
Key facts
- NPI
- 1962830810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070009247 (IL)
- Practice address
- 619 Acadia TRL
Roselle, IL 60172-1016 - Phone
- (847) 340-6692
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070009247 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070009247 | IL | Yes |
Addresses
Primary practice location
619 Acadia TRL
Roselle, IL 60172-1016
Mailing address
619 Acadia TRL
Roselle, IL 60172-1016
Phone (847) 340-6692
NPI Registry JSON
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1962830810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 ACADIA TRL",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601721016",
"telephone_number": "847-340-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 ACADIA TRL",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601721016",
"telephone_number": "847-340-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEMA",
"first_name": "GAGANDEEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070009247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle, IL
- Veronica Chaidez
- Raili Chan
- Peter Sung Jong Chang
- Charles W Chapple
- Charles W Chapple DC SC
- Chris Ciaschini
- Carol Clark
- Julia Marie Clark
- Angelina Coleman
- Cornerstone Dental Clinic LLC
All providers in Roselle, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.