Provider Demographics
NPI:1740970128
Name:CHIRONATION LLC
Entity type:Organization
Organization Name:CHIRONATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULTANA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-923-1877
Mailing Address - Street 1:1S132 SUMMIT AVE STE 207A
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3975
Mailing Address - Country:US
Mailing Address - Phone:630-426-9656
Mailing Address - Fax:
Practice Address - Street 1:1S132 SUMMIT AVE STE 207A
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3975
Practice Address - Country:US
Practice Address - Phone:630-426-9656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty