Organization Active NPI

Clinical Associates in Medicine, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Joliet, IL
National Provider Identifier
1487798955
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
036093920 Issued in IL
Legal business name
CLINICAL ASSOCIATES IN MEDICINE, LLC
Practice address
801 N Larkin Ave Ste 101
Joliet, IL 60435
Phone
(815) 744-0029
Fax
(815) 744-3768
NPI assigned
Feb 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Abhin Singla, M.D.NPI 1659300796
Title
Owner Physician
Phone
(815) 744-0029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X 036093920 IL Primary

Addresses

Primary practice location

801 N Larkin Ave Ste 101
Joliet, IL 60435

Mailing address

801 N Larkin Ave Ste 101
Joliet, IL 60435-3470
Phone (815) 744-0029

Other identifiers 2

IdentifierTypeStateIssuer
036093920MedicaidIL
1659300796OtherILDR SINGLA NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723001159 IL Part B Supplier - Clinic/Group Practice 0446230924 Receives reassigned benefits from 1 practitioner
Practice locations: Joliet, IL

National Provider Directory

National Provider Directory

Locations

330 Madison St
Ste 303
Joliet, IL 60435
Phone (815) 553-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1487798955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N LARKIN AVE STE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353470",
            "telephone_number": "815-744-0029",
            "fax_number": "815-744-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N LARKIN AVE STE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-744-0029",
            "fax_number": "815-744-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ASSOCIATES IN MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "SINGLA",
        "authorized_official_first_name": "ABHIN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "815-744-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036093920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093920",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR SINGLA NPI",
            "identifier": "1659300796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.