Chariot Master LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

22328LY Issued in IL

Legal business name

CHARIOT MASTER LLC

Practice address

1905 Wild Rose TRL
Joliet, IL 60431-8871

Phone

(630) 303-7990

Fax

(815) 609-5110

NPI assigned

Feb 10, 2009

Organization subpart

No

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

Authorized official

Name

Jeffrey Borja

Title

Manager

Phone

(630) 303-7990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1154560498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 WILD ROSE TRL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318871",
            "telephone_number": "630-303-7990",
            "fax_number": "815-609-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WILD ROSE TRL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318871",
            "telephone_number": "630-303-7990",
            "fax_number": "815-609-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT MASTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-303-7990"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IL",
            "license": "22328LY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Dennis Cerniak, M.D.
• Michele Renee Chaleunphonh, OTRL
• Saipraseuth Chaleunphonh, MSW
• Lauren Nicole Chan, D.D.S.
• Michael Chandler
• Bernard R Charles, M.D.
• Jonquil Nicole Chason, LCSW, CDVP
• Angela N Chastain, PSYD
• Eva R Chatman, M.D.
• Keyur M. Chauhan, M.D.

• Private Vehicle in Joliet, IL
• Providers in Joliet, IL by specialty
• Private Vehicle in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.