Provider Demographics
NPI:1659300796
Name:SINGLA, ABHIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHIN
Middle Name:
Last Name:SINGLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABHINAV
Other - Middle Name:
Other - Last Name:SINGLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:801 N LARKIN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-3470
Mailing Address - Country:US
Mailing Address - Phone:815-744-0029
Mailing Address - Fax:815-744-3768
Practice Address - Street 1:801 N LARKIN AVE STE 101
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435
Practice Address - Country:US
Practice Address - Phone:815-744-0029
Practice Address - Fax:815-744-3768
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036093920207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL6899246OtherCIGNA
IL5568605OtherAETNA
IL036093920Medicaid
IL09932212OtherBCBS IL PROVIDER#
IL114624OtherHEALTH PARTNERS
IL114624OtherHEALTH PARTNERS
ILG61966Medicare UPIN