Basic Information
Provider Information
NPI: 1982968806
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGHVI
FirstName: MONICA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 610 S MAPLE AVE STE 4600
Address2:  
City: OAK PARK
State: IL
PostalCode: 603042817
CountryCode: US
TelephoneNumber: 7086602240
FaxNumber: 7086602243
Practice Location
Address1: 610 S MAPLE AVE STE 4600
Address2:  
City: OAK PARK
State: IL
PostalCode: 60304
CountryCode: US
TelephoneNumber: 7086602240
FaxNumber: 7086602243
Other Information
ProviderEnumerationDate: 06/25/2012
LastUpdateDate: 12/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X036137311ILY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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