Individual
VIVEK BEHERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D.
Contact information
Practice address
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637-1443
(773) 702-6760
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125077076
IL
207RH0003X
Hematology & Oncology Physician
Primary
036166529
IL
Other
Enumeration date
06/13/2020
Last updated
06/05/2025
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