Provider Demographics
NPI:1669094850
Name:RAWALJI INC
Entity type:Organization
Organization Name:RAWALJI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TUSHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWALJI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-453-7527
Mailing Address - Street 1:735 BUFFALO CIR
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9105
Mailing Address - Country:US
Mailing Address - Phone:630-453-7527
Mailing Address - Fax:
Practice Address - Street 1:735 BUFFALO CIR
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-9105
Practice Address - Country:US
Practice Address - Phone:630-453-7527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty