Provider Demographics
NPI:1043638380
Name:ARJAV CORPORATION
Entity Type:Organization
Organization Name:ARJAV CORPORATION
Other - Org Name:CHIROCENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AVANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-863-5464
Mailing Address - Street 1:425 E EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:MT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1226
Mailing Address - Country:US
Mailing Address - Phone:630-863-5464
Mailing Address - Fax:630-448-6687
Practice Address - Street 1:6367 FREMONT DR
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-4950
Practice Address - Country:US
Practice Address - Phone:630-863-5464
Practice Address - Fax:630-448-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty