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Individual

KARISHMA JAYESHBHAI BHAKTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 RAVINIA PL, ORLAND PARK, IL 60462-3761
(559) 759-1277
Mailing address
5105 S HARPER AVE UNIT 301, CHICAGO, IL 60615-4357
(559) 759-1277

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150104354
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150104354
ASWB
IL
Enumeration date
05/04/2020
Last updated
05/04/2020
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