Provider Demographics
NPI:1912937525
Name:SINGRI, NIMISHA NATUBHAI (MD)
Entity type:Individual
Prefix:DR
First Name:NIMISHA
Middle Name:NATUBHAI
Last Name:SINGRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 LARSON LN
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-4945
Mailing Address - Country:US
Mailing Address - Phone:773-655-5670
Mailing Address - Fax:
Practice Address - Street 1:911 N PLUM GROVE RD STE A
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4793
Practice Address - Country:US
Practice Address - Phone:847-534-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036108664207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036108664Medicaid
ILK01808Medicare UPIN
IL207390Medicare ID - Type Unspecified