Healthcare Provider Details

I. General information

NPI: 1114546231
Provider Name (Legal Business Name): DR. EESHA SINGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 E CHICAGO AVE # 12-140
CHICAGO IL
60611-4296
US

IV. Provider business mailing address

251 E HURON ST DEPARTMENT OF NEUROLOGY
CHICAGO IL
60611-2908
US

V. Phone/Fax

Practice location:
  • Phone: 312-503-3936
  • Fax:
Mailing address:
  • Phone: 615-936-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number036.168957
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number01098224A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: