Provider Demographics
NPI:1841250289
Name:SUN HEALTH, INC.
Entity type:Organization
Organization Name:SUN HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BHUVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-741-8480
Mailing Address - Street 1:2121 ONEIDA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6544
Mailing Address - Country:US
Mailing Address - Phone:815-744-9300
Mailing Address - Fax:815-744-9347
Practice Address - Street 1:2121 ONEIDA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6544
Practice Address - Country:US
Practice Address - Phone:815-744-9300
Practice Address - Fax:815-744-9347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL50366OtherBCBS ID #
IL=========001Medicaid
IL50366OtherBCBS ID #
IL142553Medicare ID - Type Unspecified