Healthcare Provider Details

I. General information

NPI: 1992704100
Provider Name (Legal Business Name): CHADEN SBAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6703 159TH ST SUITE 105
TINLEY PARK IL
60477-1781
US

IV. Provider business mailing address

6703 159TH ST STE 105
TINLEY PARK IL
60477-1782
US

V. Phone/Fax

Practice location:
  • Phone: 708-444-8593
  • Fax: 708-444-2673
Mailing address:
  • Phone: 708-444-8593
  • Fax: 708-444-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036108021
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: