Provider Demographics
NPI:1134276223
Name:ATMA CHIROPRACTIC NETWORK
Entity type:Organization
Organization Name:ATMA CHIROPRACTIC NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIRAG
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-490-8780
Mailing Address - Street 1:1585 BARRINGTON RD
Mailing Address - Street 2:DOB 2 SUITE 601
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:847-490-8780
Mailing Address - Fax:847-490-8869
Practice Address - Street 1:1585 BARRINGTON RD.
Practice Address - Street 2:DOB 2 SUITE 601
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1066
Practice Address - Country:US
Practice Address - Phone:847-490-8780
Practice Address - Fax:847-490-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK17565Medicare UPIN
IL211465Medicare ID - Type UnspecifiedGROUP NUMBER