Provider Demographics
NPI:1164962601
Name:CHISHTI, OMAIR HUSAIN (DC)
Entity Type:Individual
Prefix:DR
First Name:OMAIR
Middle Name:HUSAIN
Last Name:CHISHTI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8322 N HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2617
Mailing Address - Country:US
Mailing Address - Phone:847-553-4813
Mailing Address - Fax:
Practice Address - Street 1:1859 TOWER DR
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-7783
Practice Address - Country:US
Practice Address - Phone:847-243-6041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013060111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor