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Organization

CHESTNUT HEALTH OF ARIZONA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMAIR SIRAJ (CEO)
(703) 964-8199
Entity
Organization

Contact information

Practice address
11812 N 19TH AVE, PHOENIX, AZ 85029-3536
(602) 900-8828
(703) 649-6188
Mailing address
1530 N RANDALL RD STE 210, ELGIN, IL 60123-7879
(703) 964-8199
(703) 649-6188

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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