Healthcare Provider Details

I. General information

NPI: 1457281404
Provider Name (Legal Business Name): DR. JORIE SINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 NASH WAY
ST LOUIS MO
63110
US

IV. Provider business mailing address

1202 WESTCHESTER CT
BUFFALO GROVE IL
60089-6872
US

V. Phone/Fax

Practice location:
  • Phone: 847-302-5817
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: