Organization
MIDWEST INTERNISTS OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH BHATIA M.D (MEMBER)
(708) 535-3300
Entity
Organization
Contact information
Practice address
6300 159TH ST STE C, OAK FOREST, IL 60452-2779
(708) 535-3300
Mailing address
6300 159TH ST STE C, OAK FOREST, IL 60452-2779
(708) 535-3300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632762
BLUE CROSS
IL
Enumeration date
09/04/2007
Last updated
09/04/2007
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