Provider Demographics
NPI:1932361433
Name:GILL, SANJAY S (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2266 N LINCOLN AVE
Mailing Address - Street 2:#3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-6244
Mailing Address - Country:US
Mailing Address - Phone:773-327-8008
Mailing Address - Fax:773-423-0289
Practice Address - Street 1:2266 N. LINCOLN AVE.
Practice Address - Street 2:3
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:773-327-8008
Practice Address - Fax:773-423-0289
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2016-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.120902207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease