Healthcare Provider Details

I. General information

NPI: 1255248217
Provider Name (Legal Business Name): PADMINI SINGH CHAUHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 DAVIS ST # 200
EVANSTON IL
60201-4491
US

IV. Provider business mailing address

310 LATHROP AVE APT 102
FOREST PARK IL
60130-1457
US

V. Phone/Fax

Practice location:
  • Phone: 773-294-0176
  • Fax:
Mailing address:
  • Phone: 773-837-6758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: