Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 036118792 | IL |
NPI | 1124077854 |
---|---|
Provider Name | Dr. Sunali Patel Singh |
First Address | Chicago, IL 60612-3728 |
Second Address | Chicago, IL 60612-3728 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 04/08/2009 |