Provider Demographics
NPI:1881207637
Name:SINGH, SUNDIP KAUR (PHARMD)
Entity Type:Individual
Prefix:
First Name:SUNDIP
Middle Name:KAUR
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N RAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-3201
Mailing Address - Country:US
Mailing Address - Phone:847-550-9475
Mailing Address - Fax:
Practice Address - Street 1:910 N RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3201
Practice Address - Country:US
Practice Address - Phone:847-550-9475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-30
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL303282183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist