Michelle R Singapori

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032914 Issued in IL

Practice address

101 N Waukegan Rd Ste 1200
Lake Bluff, IL 60044-1686

Phone

(847) 234-4405

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1821626227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14115 W BRAEMORE CLOSE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600484842",
            "telephone_number": "847-814-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WAUKEGAN RD STE 1200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441686",
            "telephone_number": "847-234-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 W Park Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600482567",
            "country_code": "US",
            "telephone_number": "847-362-4740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600455404",
            "country_code": "US",
            "telephone_number": "847-234-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGAPORI",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-07-07",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E. Sheehan, LCSW
• Diane Isabelle Shelton, LMFT, LCPC, LPC
• Lawrence Alan Short, DPM
• Amanda Rose Shulman
• Howard Wayne Siegel
• Thomas Joseph Singel II, DO
• Dana Alaine Slowinski, LCSW
• Theresa Talia Smith
• John C Somberg, MD
• Robert H Sorensen, M.D.

• General Practice Dentistry in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.