Provider Demographics
NPI:1396788006
Name:DHILLON, BIKRAM SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:BIKRAM
Middle Name:SINGH
Last Name:DHILLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 JASON CT
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-2075
Mailing Address - Country:US
Mailing Address - Phone:847-995-0344
Mailing Address - Fax:
Practice Address - Street 1:836 W WELLINGTON AVE
Practice Address - Street 2:ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, EMERGENCY MED
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5147
Practice Address - Country:US
Practice Address - Phone:773-296-7054
Practice Address - Fax:773-296-7818
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-081373207P00000X
WI51463-20207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35366300Medicaid
WI1396788006OtherBLUE SHIELD
IL036081373Medicaid
WI008001473Medicare PIN
WI1396788006OtherBLUE SHIELD
WI002101805Medicare PIN
WI35366300Medicaid