MEDICARE: DR. JUSTIN SINGH VIRK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	2026-03395	NC
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	036.175467	IL
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	2026-03395	NC

General Provider Information

NPI Number	:	1871176495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN SINGH VIRK MD

Provider Business Mailing Address
First Line	:	PO BOX 5105
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5100
Country	:	US
Telephone Number	:	919-220-5255
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 S WOOD ST STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4325
Country	:	US
Telephone Number	:	312-996-2933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2021
Last Update Date	:	06/10/2026

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