Provider Demographics
NPI:1497816268
Name:SINGH, AMRIT R (MD)
Entity Type:Individual
Prefix:DR
First Name:AMRIT
Middle Name:R
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12179 REGENCY PKWY
Mailing Address - Street 2:VITAS HEALTHCARE AND HOSPICE
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-7644
Mailing Address - Country:US
Mailing Address - Phone:847-754-6928
Mailing Address - Fax:847-426-6216
Practice Address - Street 1:12179 REGENCY PKWY
Practice Address - Street 2:VITAS HEALTHCARE AND HOSPICE
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-7644
Practice Address - Country:US
Practice Address - Phone:847-754-6928
Practice Address - Fax:847-426-6216
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC000035049207Q00000X
IL036.120343207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8976530Medicaid
NCF95163Medicare UPIN
NC2206471DMedicare ID - Type Unspecified