Individual
DR. CAROLYN M BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 731-5641
Mailing address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 731-5641
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.141240
IL
208600000X
Surgery Physician
036141240
IL
208600000X
Surgery Physician
A157074
CA
Other
Enumeration date
05/24/2010
Last updated
01/05/2024
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