Individual
KIRIT BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1418 WEST 18TH ST, ST JUDE MEDICAL CENTER, CHICAGO, IL 60608
(312) 733-3331
(312) 733-1251
Mailing address
1418 WEST 18TH ST, CHICAGO, IL 60608
(312) 733-3331
(312) 733-1251
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036048250
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03648250
—
IL
Enumeration date
06/27/2006
Last updated
07/08/2007
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