Healthcare Provider Details

I. General information

NPI: 1588518971
Provider Name (Legal Business Name): XXX SANDEEP KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDEEP KAUR DDS

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 W 14TH ST
CHICAGO HEIGHTS IL
60411-2386
US

IV. Provider business mailing address

567 W 14TH ST
CHICAGO HEIGHTS IL
60411-2386
US

V. Phone/Fax

Practice location:
  • Phone: 708-283-9800
  • Fax: 708-283-9801
Mailing address:
  • Phone: 708-283-9800
  • Fax: 708-283-9801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.037031
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: