Provider Demographics
NPI:1770764276
Name:SINGH, SATNAM K (MD)
Entity type:Individual
Prefix:DR
First Name:SATNAM
Middle Name:K
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 263
Mailing Address - Street 2:564 N. BARRON BLVD., SUITE C
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-0263
Mailing Address - Country:US
Mailing Address - Phone:847-223-4440
Mailing Address - Fax:847-223-0149
Practice Address - Street 1:564 BARRON BLVD STE C
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-3355
Practice Address - Country:US
Practice Address - Phone:847-223-4440
Practice Address - Fax:847-223-0149
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL735900Medicare PIN
ILD93970Medicare UPIN