Provider Demographics
NPI:1205488301
Name:SINGERMAN, WILLIAM SHAWN (MED, MA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:SHAWN
Last Name:SINGERMAN
Suffix:
Gender:M
Credentials:MED, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2014
Mailing Address - Country:US
Mailing Address - Phone:312-505-2751
Mailing Address - Fax:
Practice Address - Street 1:53 W JACKSON BLVD STE 1028
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3648
Practice Address - Country:US
Practice Address - Phone:312-505-2751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL180.015071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program