Individual
BHAVANA P VAIDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6307 S STEWART AVE STE 201, CHICAGO, IL 60621-3116
(773) 962-4025
Mailing address
10601 S KILBOURN AVE, OAK LAWN, IL 60453-5341
(708) 425-2516
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036066303
IL
208D00000X
General Practice Physician
Primary
036066303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066303
—
IL
01
—
11871240
CAQH
IL
01
—
316009776
BC
IL
01
—
711960
PTAN
IL
Enumeration date
08/18/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us