Provider Demographics
NPI:1679629331
Name:ROHANISH ENTERPRISES INC
Entity type:Organization
Organization Name:ROHANISH ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUZER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINWALLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-582-3120
Mailing Address - Street 1:290 SPRINGFIELD DRIVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108
Mailing Address - Country:US
Mailing Address - Phone:630-582-3120
Mailing Address - Fax:630-582-3137
Practice Address - Street 1:290 SPRINGFIELD DRIVE
Practice Address - Street 2:SUITE 140
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108
Practice Address - Country:US
Practice Address - Phone:630-582-3120
Practice Address - Fax:630-582-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190238501223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty