Individual
DR. MANJIT LAL SANDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 502, CHICAGO, IL 60657-6156
(773) 472-1483
(773) 472-1489
Mailing address
PO BOX 3603, OAK BROOK, IL 60522-3603
(312) 471-5550
(312) 471-5551
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036089775
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089775
—
IL
01
—
10760334
CAQH
IL
Enumeration date
11/07/2005
Last updated
03/07/2023
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