Provider Demographics
NPI:1265730600
Name:CHS PROFESSIONAL PRACTICE, P.C.
Entity type:Organization
Organization Name:CHS PROFESSIONAL PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIIORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-861-8080
Mailing Address - Street 1:123 ROSEBERRY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1629
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:908-454-9937
Practice Address - Street 1:123 ROSEBERRY ST
Practice Address - Street 2:SUITE A
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1629
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:908-454-9937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207QS0010X, 213E00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty