Organization
ST. JUDE MEDICAL CENTER S.C.
Active
Other names
KIRIT BHATT M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRIT BHATT M.D. (PRESIDENT)
(312) 733-3331
Entity
Organization
Contact information
Practice address
1418 W 18TH ST, CHICAGO, IL 60608-3004
(312) 733-3331
(312) 733-1251
Mailing address
1418 W 18TH ST, CHICAGO, IL 60608-3004
(312) 733-3331
(312) 733-1251
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036048250
IL
Other
Enumeration date
06/15/2009
Last updated
07/16/2009
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