Provider Demographics
NPI:1629829833
Name:MANGAT SANDHU, NAVJOT KAUR (FNP-BC)
Entity Type:Individual
Prefix:
First Name:NAVJOT
Middle Name:KAUR
Last Name:MANGAT SANDHU
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 COLCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4164
Mailing Address - Country:US
Mailing Address - Phone:847-848-3077
Mailing Address - Fax:
Practice Address - Street 1:1801 W GOLF RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-1148
Practice Address - Country:US
Practice Address - Phone:847-885-1326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209029429363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily