Individual
PARDEEP K. BHANOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050
(815) 759-3100
Mailing address
4201 MEDICAL CENTER DRIVE, EMERGENCY DEPARTMENT, MCHENRY, IL 60050
(815) 759-3100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-060747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036060747
STATE LICENSE
IL
Enumeration date
03/11/2006
Last updated
07/21/2022
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