Provider Demographics
NPI:1427330125
Name:TOOR, SUKHDIP (PHARMD)
Entity type:Individual
Prefix:
First Name:SUKHDIP
Middle Name:
Last Name:TOOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-1022
Mailing Address - Country:US
Mailing Address - Phone:847-529-4368
Mailing Address - Fax:
Practice Address - Street 1:295 US HIGHWAY 45
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2205
Practice Address - Country:US
Practice Address - Phone:847-223-9261
Practice Address - Fax:847-223-5532
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.290611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist