Healthcare Provider Details

I. General information

NPI: 1285496729
Provider Name (Legal Business Name): SINGH PSYCHIATRY AND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 S ROUTE 30 STE 204B
PLAINFIELD IL
60544-5688
US

IV. Provider business mailing address

13550 S ROUTE 30 STE 204B
PLAINFIELD IL
60544-5688
US

V. Phone/Fax

Practice location:
  • Phone: 872-209-7652
  • Fax:
Mailing address:
  • Phone: 872-209-7652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MANPREET SINGH
Title or Position: OWNER
Credential: NP
Phone: 872-209-7652