Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 036.123119 | IL |
N | 208000000X | Pediatrician | 036.123119 | IL |
N | 2080P0204X | Pediatric Emergency Doctor | 036.123119 | IL |
NPI | 1164448387 |
---|---|
Provider Name | Dr. Vipul Singla |
First Address | Hoffman Estates, IL 60169-1019 |
Second Address | Hoffman Estates, IL 60169-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H93296 | (02) |