Individual
GURPARTAP SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125064843
IL
Other
Enumeration date
07/10/2014
Last updated
12/20/2021
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