Healthcare Provider Details

I. General information

NPI: 1932250446
Provider Name (Legal Business Name): BHUPINDER SINGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 12/14/2024
Certification Date: 12/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 REVERE DR STE 575
NORTHBROOK IL
60062-1577
US

IV. Provider business mailing address

3 S WYNSTONE DR
NORTH BARRINGTON IL
60010-6935
US

V. Phone/Fax

Practice location:
  • Phone: 708-287-4209
  • Fax: 847-739-7705
Mailing address:
  • Phone: 708-287-4209
  • Fax: 847-739-7705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036116585
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036116585
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: