Individual
DR. KIRAN RAM BAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2127 S 17TH AVE, BROADVIEW, IL 60155
(708) 344-8135
(708) 344-8139
Mailing address
188 TIMBERVIEW DR, OAKBROOK, IL 60523
(708) 344-8135
(708) 344-8139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31602912
BCBS
—
Enumeration date
06/26/2006
Last updated
07/08/2007
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