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Individual

ARCHANA SINGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
036-093-821
IL
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
309007523
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206147
MEDICARE PTAN GROUP
IL
01
F400226791
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/21/2014
Last updated
07/22/2015
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