Bhanu L. Patel M D Ltd

NPI 1003156373 - Specialist - 174400000X

NPI Details
NPI 1003156373
Enumeration Date 02/25/2013
Last Updated 02/25/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BHANU L BHANU
Position PRESIDENT
Phone (773) 478-1777
Fax (773) 478-1964
Practice Location
3414 W PETERSON AVE
SUITE A
CHICAGO IL, 60659-3452, US
Phone (773) 478-1777
Fax (773) 478-1964
Business Location
3414 W PETERSON AVE
SUITE A
CHICAGO IL, 60659-3452, US
Phone (773) 478-1777
Fax (773) 478-1964
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036090924
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According to our database, Bhanu L. Patel M D Ltd NPI is 1003156373, taxonomy code is 174400000X and license number is 036090924, license state is located at Illinois. Bhanu L. Patel M D Ltd physically located at 3414 W Peterson Ave, Chicago IL, 60659-3452. NPI Number 1033115704 has the healthcare provider type.

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1003156373 NPI number is provided on an as is basis without warranty of any kind. 1003156373 is maintained by the National Plan & Provider Enumeration System. The contents of Bhanu L. Patel M D Ltd are for informational purposes only.