Individual
BIPINCHANDRA N BHAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 W COURT ST, SUITE #403, KANKAKEE, IL 60901-3679
(815) 939-3190
(815) 935-5101
Mailing address
455 W COURT ST, SUITE #403, KANKAKEE, IL 60901-3679
(815) 939-3190
(815) 935-5101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01059337A
IN
208800000X
Urology Physician
Primary
036044204
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044204
—
IL
Enumeration date
07/20/2006
Last updated
10/14/2020
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