MEDICARE: RUCHI SINGLA

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	2080P0201X	Pediatric Allergy/Immunology Physician	036150736	IL

General Provider Information

NPI Number	:	1649513151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUCHI SINGLA

Provider Business Mailing Address
First Line	:	150 HARVESTER DR
Second Line	:	SUITE 300
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-5919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5841 S MARYLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60637-1443
Country	:	US
Telephone Number	:	888-824-0200
Fax Number	:

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

Provider Enumeration Date	:	04/03/2013
Last Update Date	:	10/24/2022

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Directions to “ RUCHI SINGLA ” Practice Location

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