Individual
ADARSH KUMAR BHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17850 KEDZIE AVE, SUITE 3250, HAZEL CREST, IL 60429-2058
(708) 799-8700
(708) 957-1830
Mailing address
17850 KEDZIE AVE, HAZEL CREST, IL 60429-2058
(708) 799-8700
(708) 957-1830
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
03696218
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
03696218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096218
—
IL
01
—
21622931
BCBS GROUP NUMBER
IL
01
—
526200
MEDICARE GROUP PROVIDER #
IL
01
—
CI8250
PALMETTO GBA GROUP #
IL
01
—
P00359385
PALMETTO GBA INDIVIUAL #
IL
Enumeration date
08/03/2006
Last updated
04/30/2025
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