Provider Demographics
| NPI: | 1871032797 |
|---|---|
| Name: | SEKHON, DILRAJ SINGH |
| Entity type: | Individual |
| Prefix: | |
| First Name: | DILRAJ |
| Middle Name: | SINGH |
| Last Name: | SEKHON |
| Suffix: | |
| Gender: | M |
| Credentials: | |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 559 N CHESTNUT ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ADDISON |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60101-2845 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 773-879-2720 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 10400 HALIGUS RD |
| Practice Address - Street 2: | |
| Practice Address - City: | HUNTLEY |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60142-9553 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 224-654-0000 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2017-02-13 |
| Last Update Date: | 2023-08-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| IL | 036.159664 | 207RN0300X, 207RC0200X |
| OH | 34.014478 | 208M00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
| No | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
| Yes | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| OH | 2565399 | Medicaid |