Individual
DIVYA BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 355-1700
(312) 355-3093
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/13/2012
Last updated
02/01/2014
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