Provider Demographics
NPI:1902149651
Name:PARIKH, CHAITALI ZUBIN
Entity Type:Individual
Prefix:
First Name:CHAITALI
Middle Name:ZUBIN
Last Name:PARIKH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHAITALI
Other - Middle Name:A
Other - Last Name:ANANDPARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1630 MYRTLE PARK ST
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-5013
Mailing Address - Country:US
Mailing Address - Phone:630-824-7765
Mailing Address - Fax:
Practice Address - Street 1:350 W SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3464
Practice Address - Country:US
Practice Address - Phone:630-824-7765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.019698225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist