MEDICARE: GURBAX SINGH SAINI MD

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
1	207R00000X	Internal Medicine Physician		IL

General Provider Information

NPI Number	:	1649499112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GURBAX SINGH SAINI MD

Provider Business Mailing Address
First Line	:	27979 CONVERSE ROAD
Second Line	:
City	:	ISLAND LAKE
State	:	IL
Zip	:	60042-8103
Country	:	US
Telephone Number	:	847-526-8830
Fax Number	:	847-526-8985

Provider Business Practice Location Address
First Line	:	27979 N CONVERSE RD
Second Line	:
City	:	ISLAND LAKE
State	:	IL
Zip	:	60042-8103
Country	:	US
Telephone Number	:	847-526-8830
Fax Number	:	847-526-8985

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. GURBAX SINGH SAINI
Credential	:	MD
Telephone Number	:	847-526-8830

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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