Provider Demographics
NPI:1831495589
Name:SAITHAN SATHA, LLC
Entity type:Organization
Organization Name:SAITHAN SATHA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHONGSUWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-650-1452
Mailing Address - Street 1:373 SUMMIT ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-3733
Mailing Address - Country:US
Mailing Address - Phone:224-535-7124
Mailing Address - Fax:224-535-7224
Practice Address - Street 1:373 SUMMIT ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-3733
Practice Address - Country:US
Practice Address - Phone:224-535-7124
Practice Address - Fax:224-535-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL11367 PT343900000X
IL11366 PT343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)