Individual
DR. AMANDEEP SINGH RANDHAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 W LAKE ST, CHICAGO, IL 60644-2609
(773) 378-8100
(773) 378-8100
Mailing address
4801 W LAKE ST, CHICAGO, IL 60644-2609
(773) 378-8100
(773) 378-8100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036137608
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036137608
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301099622
MI
Other
Enumeration date
08/01/2011
Last updated
02/15/2017
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