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CLINICAL ASSOCIATES IN MEDICINE LLC NPI 1487798955


NPI Information

NPI: 1487798955
Provider Name: CLINICAL ASSOCIATES IN MEDICINE, LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 14D1025014

Address:
801 N LARKIN AVE STE 101
JOLIET, IL
ZIP 60435
Phone: (815) 744-0029
Get Directions

CLINICAL ASSOCIATES IN MEDICINE, LLC is an addiction medicine internal medicine in Joliet, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CLINICAL ASSOCIATES IN MEDICINE, LLC NPI is 1487798955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 N LARKIN AVE STE 101
JOLIET, IL
ZIP 60435
Phone: (815) 744-0029
Fax: (815) 744-3768

The provider's authorized official is Abhin Singla .
The authorized official title is Owner Physician and has the following contact phone number (815) 744-0029.

The CLIA number assigned to this NPI record is 14D1025014 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2007 and was last updated on 11/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction Medicine036093920ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036093920MEDICAIDILLINOIS
21659300796OTHERILLINOISDR SINGLA NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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