Organization Active NPI

Sun Clinic LLC

  • Nephrology Physician
  • Joliet, IL
National Provider Identifier
1104081009
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SUN CLINIC LLC
Practice address
2121 Oneida St
Joliet, IL 60435-6544
Phone
(815) 741-8480
NPI assigned
Jul 21, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bhuvan Chawla, M.D.NPI 1275660169
Title
Manager
Phone
(815) 741-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2121 Oneida St
Joliet, IL 60435-6544

Mailing address

2121 Oneida St
Joliet, IL 60435-6544

National Provider Directory

National Provider Directory

Locations

2121 Oneida St
Joliet, IL 60435
Phone (815) 741-4148

2121 Oneida St
Ste 103
Joliet, IL 60435
Phone (815) 741-8480

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1104081009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 ONEIDA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ONEIDA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356544",
            "telephone_number": "815-741-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "BHUVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-741-8480",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.