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Individual

NIMEET R BRAHMBHATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2315 E 93RD ST STE 337, CHICAGO, IL 60617-3948
(708) 952-3040
Mailing address
210 S DESPLAINES ST, CHICAGO, IL 60661-5500
(312) 654-2721

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036124838
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036124838
IL
01
F400293237
MEDICARE
IL
Enumeration date
04/30/2010
Last updated
11/22/2024
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