Healthcare Provider Details
I. General information
NPI: 1972819720
Provider Name (Legal Business Name): ASHIMA SYNGHAL SAHNI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/30/2010
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1901 W HARRISON ST
CHICAGO IL
60612-3714
US
IV. Provider business mailing address
1901 W HARRISON ST
CHICAGO IL
60612-3714
US
V. Phone/Fax
- Phone: 312-864-6000
- Fax:
- Phone: 312-864-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 036132360 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 036132360 |
| License Number State | IL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | 036132360 |
| License Number State | IL |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 036132360 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: