Healthcare Provider Details

I. General information

NPI: 1639227374
Provider Name (Legal Business Name): VIKRAMJIT S GILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 W HIGGINS RD STE 655
SOUTH BARRINGTON IL
60010-9134
US

IV. Provider business mailing address

3 TRENTON CT
SOUTH BARRINGTON IL
60010-9596
US

V. Phone/Fax

Practice location:
  • Phone: 847-756-7313
  • Fax: 877-892-7421
Mailing address:
  • Phone: 304-906-5276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberC3734
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberMD.50701
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number036124581
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number152221
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD037367
License Number StateDC
# 6
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number24354
License Number StateMS
# 7
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0065191
License Number StateMD
# 8
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberV2881
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036124581
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: