Provider Demographics
NPI:1437304110
Name:GILL, TEJINDER K (MD)
Entity Type:Individual
Prefix:
First Name:TEJINDER
Middle Name:K
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 HINMAN AVE
Mailing Address - Street 2:APT 3F
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4572
Mailing Address - Country:US
Mailing Address - Phone:312-498-0722
Mailing Address - Fax:
Practice Address - Street 1:1740 HINMAN AVE
Practice Address - Street 2:APT 3F
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4572
Practice Address - Country:US
Practice Address - Phone:312-498-0722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-23
Last Update Date:2008-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38738983471207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine