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General NPI Number Information
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NPI Number | 1215912126
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Entity Type | Individual
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Provider Name | MANDEEP S GILL MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 10370 HALIGUS RD STE 103
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City | HUNTLEY
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State | IL
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Zip | 60142-9582
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Country | US
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Telephone | 847-531-5911
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Fax |
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Provider Business Mailing Address
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Address Line | 120 W 22ND ST
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City | OAK BROOK
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State | IL
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Zip | 60523-1557
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Country | US
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Telephone | 630-573-5000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036162090
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036162090
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036.162090
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 36737
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License Number State | IA
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