Healthcare Provider Details

I. General information

NPI: 1861807687
Provider Name (Legal Business Name): SANA RAFIQ CHAUDRY M.D., M.B.B.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 ELISHA AVE
ZION IL
60099-2676
US

IV. Provider business mailing address

2361 PAYSPHERE CIRCLE
CHICAGO IL
60067
US

V. Phone/Fax

Practice location:
  • Phone: 800-322-9183
  • Fax:
Mailing address:
  • Phone: 800-322-9183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036152206
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036152206
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036152206
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036152206
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: