Individual
IRFON BHATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 N WALNUT ST, SPRINGFIELD, IL 62702-3747
(319) 400-7011
Mailing address
906 N WALNUT ST, SPRINGFIELD, IL 62702-3747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125074624
IL
2085R0202X
Diagnostic Radiology Physician
036168905
IL
2085R0202X
Diagnostic Radiology Physician
125074624
IL
2085R0202X
Diagnostic Radiology Physician
4301513011
MI
2085R0202X
Diagnostic Radiology Physician
Primary
83256
WI
Other
Enumeration date
06/05/2019
Last updated
12/13/2024
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