MEDICARE: HARVINDER SINGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	056011049	IL

General Provider Information

NPI Number	:	1073173167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARVINDER SINGH

Provider Business Mailing Address
First Line	:	9305 MARMORA AVE
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-1511
Country	:	US
Telephone Number	:	847-361-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	9305 MARMORA AVE
Second Line	:
City	:	MORTON GROVE
State	:	IL
Zip	:	60053-1511
Country	:	US
Telephone Number	:	847-361-0554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	06/19/2019

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Directions to “ HARVINDER SINGH ” Practice Location

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