MEDICARE: JASMINE SINGH M.D, S.C.

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	207R00000X	Internal Medicine Physician	036097058	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1622782	OTHER	IL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588845937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JASMINE SINGH M.D, S.C.

Provider Business Mailing Address
First Line	:	3908 N CASS AVE
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-1103
Country	:	US
Telephone Number	:	630-241-4515
Fax Number	:	630-241-4530

Provider Business Practice Location Address
First Line	:	2117 E 71ST ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-2103
Country	:	US
Telephone Number	:	773-684-9464
Fax Number	:	773-684-9492

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASMINE SINGH
Credential	:	M.D.
Telephone Number	:	773-684-9464

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	11/14/2007

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