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NPI Code Detail

MEDICARE: XXX SANDEEP KAUR

MEDICARE: XXX SANDEEP KAUR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1588518971
Entity Type Code : Individual
Provider Name (Legal Business Name) : XXX SANDEEP KAUR
Provider Business Mailing Address
First Line : 567 W 14TH ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-2386
Country : US
Telephone Number : 708-283-9800
Fax Number : 708-283-9801
Provider Business Practice Location Address
First Line : 567 W 14TH ST
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-2386
Country : US
Telephone Number : 708-283-9800
Fax Number : 708-283-9801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ XXX SANDEEP KAUR ” Practice Location

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