Individual
BHAVIK KHAJURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2477
Mailing address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-068976
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036118112
IL
Other
Enumeration date
05/02/2016
Last updated
03/18/2022
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