Individual
DR. BHAVANI L COCA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
396 TEMPLE AVE, HIGHLAND PARK, IL 60035-1435
(847) 432-7830
Mailing address
1659 N WOODS WAY, VERNON HILLS, IL 60061-1237
(847) 541-9607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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