Individual
ELIZABETH BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-3436
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
036-139397
IL
208600000X
Surgery Physician
125.062706
IL
Other
Enumeration date
03/19/2013
Last updated
03/07/2023
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