Provider Demographics
NPI:1841603750
Name:GILL, SAHIB (MD)
Entity Type:Individual
Prefix:DR
First Name:SAHIB
Middle Name:
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 N ELM ST STE 207
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3637
Mailing Address - Country:US
Mailing Address - Phone:630-850-2120
Mailing Address - Fax:
Practice Address - Street 1:908 N ELM ST STE 207
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3637
Practice Address - Country:US
Practice Address - Phone:630-850-2120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY11867C207Q00000X
AZ57735207Q00000X
WAMD60917707207Q00000X
KS04-41701207Q00000X
WI301-320207Q00000X
MN64809207Q00000X
IAMD-45781207Q00000X
NE31322207Q00000X
UT11066881-1205207Q00000X
SD11277207Q00000X
IL036.143568207QA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine