Provider Demographics
NPI:1487798955
Name:CLINICAL ASSOCIATES IN MEDICINE, LLC
Entity type:Organization
Organization Name:CLINICAL ASSOCIATES IN MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ABHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-744-0029
Mailing Address - Street 1:801 N LARKIN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-3470
Mailing Address - Country:US
Mailing Address - Phone:815-744-0029
Mailing Address - Fax:815-744-3768
Practice Address - Street 1:801 N LARKIN AVE STE 101
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435
Practice Address - Country:US
Practice Address - Phone:815-744-0029
Practice Address - Fax:815-744-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036093920207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036093920Medicaid
IL1659300796OtherDR SINGLA NPI
IL1659300796OtherDR SINGLA NPI
IL036111915Medicaid
IL1245262617OtherDR GUTTA NPI
IL036093920Medicaid
ILI18893Medicare UPIN