Healthcare Provider Details

I. General information

NPI: 1154826451
Provider Name (Legal Business Name): NEHA SINGLA JANI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 AUSTIN ST STE 469E
EVANSTON IL
60202-3455
US

IV. Provider business mailing address

800 AUSTIN ST STE 469E
EVANSTON IL
60202-3455
US

V. Phone/Fax

Practice location:
  • Phone: 847-644-4795
  • Fax: 847-332-1114
Mailing address:
  • Phone: 847-644-4795
  • Fax: 847-332-1114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number135001017
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number016005947
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: