Provider Demographics
NPI:1144560210
Name:CHAWLA ORTHODONTICS INC.
Entity type:Organization
Organization Name:CHAWLA ORTHODONTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:630-914-6060
Mailing Address - Street 1:519 N CASS AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1514
Mailing Address - Country:US
Mailing Address - Phone:630-914-6060
Mailing Address - Fax:630-442-7216
Practice Address - Street 1:519 N CASS AVE STE 401
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1514
Practice Address - Country:US
Practice Address - Phone:630-914-6060
Practice Address - Fax:630-442-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190202141223X0400X
IL0190277771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty