Individual
NISHA BHATIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2702
(309) 655-3069
Mailing address
828 NE GLEN OAK AVE, APT 303, PEORIA, IL 61603-3285
(312) 399-6939
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125.057553
IL
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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