Individual
DR. BHANU MAHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
856 W NELSON ST, APT# 1007, CHICAGO, IL 60657-5152
(336) 302-3352
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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