Individual
AMRIT V BHASKARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
2550 WATERVIEW DR, UNIT 354, NORTHBROOK, IL 60062-6366
(815) 483-0971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
B264-0189-0225
IL
207RH0000X
Hematology (Internal Medicine) Physician
036153118
IL
207RH0003X
Hematology & Oncology Physician
Primary
036153118
IL
207RX0202X
Medical Oncology Physician
036153118
IL
Other
Enumeration date
04/07/2017
Last updated
05/03/2024
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