Provider Demographics
NPI:1033898705
Name:CHATHA, SAIRA SAJID (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SAIRA
Middle Name:SAJID
Last Name:CHATHA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8187 NORTHWAY DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-2432
Mailing Address - Country:US
Mailing Address - Phone:630-398-1199
Mailing Address - Fax:
Practice Address - Street 1:8187 NORTHWAY DR
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-2432
Practice Address - Country:US
Practice Address - Phone:630-398-1199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.009662363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant