Provider Demographics
NPI:1811953722
Name:SIDHU, DILRAJ SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:DILRAJ
Middle Name:SINGH
Last Name:SIDHU
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 1:7550 S CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8253
Mailing Address - Country:US
Mailing Address - Phone:414-425-5010
Mailing Address - Fax:
Practice Address - Street 1:480 S US HIGHWAY 45
Practice Address - Street 2:ABBVIE
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-3910
Practice Address - Country:US
Practice Address - Phone:847-935-4326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2017-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42662020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34051700Medicaid
WIG24153Medicare UPIN
WI0000012010005Medicare ID - Type Unspecified