Healthcare Provider Details

I. General information

NPI: 1942656178
Provider Name (Legal Business Name): INDERPREET DHILLON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 GRAND AVE
GURNEE IL
60031-4591
US

IV. Provider business mailing address

6655 GRAND AVE
GURNEE IL
60031-4591
US

V. Phone/Fax

Practice location:
  • Phone: 847-856-8701
  • Fax:
Mailing address:
  • Phone: 847-856-8701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051298188
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: