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Organization

VARSHA BHAN MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VARSHA BHAN MD (PHYSICIAN)
(708) 669-1630
Entity
Organization

Contact information

Practice address
17850 KEDZIE AVE, SUITE 1700, HAZEL CREST, IL 60429-2058
(708) 669-1630
(708) 799-2261
Mailing address
17850 SOUTH KEDZIE AVE, SUITE 1700, HAZEL CREST, IL 60429
(708) 669-1630
(708) 799-2261

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036098405
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036098405
IL
Enumeration date
06/11/2008
Last updated
06/11/2008
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