Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 036072299 | IL |
NPI | 1205831393 |
---|---|
Provider Name | Dr. Priti Singh |
First Address | Burr Ridge, IL 60527-5896 |
Second Address | Burr Ridge, IL 60527-5896 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 12/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036072299 | (05) | IL |
F43349 | (02) |