Individual
MR. ABHIJIT D BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
2003 W FULTON ST, SUITE 105, CHICAGO, IL 60612-2345
(312) 850-3438
Mailing address
2003 W FULTON ST, SUITE 105, CHICAGO, IL 60612-2345
(312) 850-3438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005279
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164005279
IL LICENSE
IL
Enumeration date
06/23/2010
Last updated
06/23/2010
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