Provider Demographics
NPI:1942773882
Name:CHAKALIAN, VARTAN (DC)
Entity Type:Individual
Prefix:DR
First Name:VARTAN
Middle Name:
Last Name:CHAKALIAN
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 1:601 DEEPWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-8611
Mailing Address - Country:US
Mailing Address - Phone:714-421-1974
Mailing Address - Fax:
Practice Address - Street 1:2070 N RAND RD STE AB
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-2595
Practice Address - Country:US
Practice Address - Phone:714-421-1974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor