MEDICARE: RACHITA R 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	363AM0700X	Medical Physician Assistant
2	363A00000X	Physician Assistant	085.008999	IL

General Provider Information

NPI Number	:	1629562178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHITA R SINGH

Provider Business Mailing Address
First Line	:	2722 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-1308
Country	:	US
Telephone Number	:	312-698-9040
Fax Number	:	855-618-2276

Provider Business Practice Location Address
First Line	:	2722 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-1308
Country	:	US
Telephone Number	:	312-698-9040
Fax Number	:	855-618-2276

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

Provider Enumeration Date	:	06/19/2018
Last Update Date	:	08/23/2022

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Directions to “ RACHITA R SINGH ” Practice Location

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