Healthcare Provider Details

I. General information

NPI: 1124610704
Provider Name (Legal Business Name): COMMUNITY HEALTH ALLIANCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W ERIE ST STE 300
CHICAGO IL
60654-5706
US

IV. Provider business mailing address

520 W ERIE ST STE 300
CHICAGO IL
60654-5706
US

V. Phone/Fax

Practice location:
  • Phone: 773-733-0955
  • Fax: 312-277-9264
Mailing address:
  • Phone: 773-733-0955
  • Fax: 312-277-9264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ISHMEET SINGH
Title or Position: MD
Credential:
Phone: 773-733-0955