Provider Demographics
NPI:1609070523
Name:HARBINDER SINGH MD SC
Entity type:Organization
Organization Name:HARBINDER SINGH MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HARBINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-489-3795
Mailing Address - Street 1:2222 W DIVISION ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-2717
Mailing Address - Country:US
Mailing Address - Phone:773-489-3795
Mailing Address - Fax:773-489-3947
Practice Address - Street 1:2222 W DIVISION ST
Practice Address - Street 2:SUITE 110
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2717
Practice Address - Country:US
Practice Address - Phone:773-489-3795
Practice Address - Fax:773-489-3947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042619067208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036098279Medicaid
ILDG5618OtherRAILROAD MEDICARE
IL1637641OtherBLUE CROSS BLUE SHIELD
IL1637641OtherBLUE CROSS BLUE SHIELD
ILDG5618OtherRAILROAD MEDICARE