Provider Demographics
NPI:1033378385
Name:PROMISES OF RECOVERY
Entity Type:Organization
Organization Name:PROMISES OF RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ABHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-744-0029
Mailing Address - Street 1:330 MADISON ST STE 302
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6576
Mailing Address - Country:US
Mailing Address - Phone:815-725-7036
Mailing Address - Fax:815-744-3768
Practice Address - Street 1:330 MADISON ST STE 302
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6576
Practice Address - Country:US
Practice Address - Phone:815-725-7036
Practice Address - Fax:815-744-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA-4389-0001-A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health