Organization
SUN HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUVAN CHAWLA M.D. (MEDICAL DIRECTOR)
(815) 741-8480
Entity
Organization
Contact information
Practice address
2121 ONEIDA ST, SUITE 104, JOLIET, IL 60435-6544
(815) 744-9300
(815) 744-9347
Mailing address
2121 ONEIDA ST, SUITE 104, JOLIET, IL 60435-6544
(815) 744-9300
(815) 744-9347
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50366
BCBS ID #
IL
Enumeration date
03/27/2006
Last updated
07/17/2008
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