Organization
CHESTNUT HEALTH OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAIR SIRAJ (CEO)
(703) 964-8199
Entity
Organization
Contact information
Practice address
1530 N RANDALL RD, SUITE 200, ELGIN, IL 60123-7877
(224) 760-7322
(224) 535-8252
Mailing address
PO BOX 684, BEDFORD PARK, IL 60499-0684
(703) 964-8199
(703) 649-6188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/27/2022
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