Provider Demographics
NPI:1578378782
Name:CHEST DISEASE ASSOCIATES, INC.
Entity type:Organization
Organization Name:CHEST DISEASE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:ILTCHEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-904-7461
Mailing Address - Street 1:6707 POWERS BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5463
Mailing Address - Country:US
Mailing Address - Phone:440-886-2509
Mailing Address - Fax:440-886-2547
Practice Address - Street 1:6707 POWERS BLVD STE 106
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5463
Practice Address - Country:US
Practice Address - Phone:440-886-2509
Practice Address - Fax:440-886-2547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty