Organization
MARUTI BHORADE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J CANNY (BUSINESS MANAGER)
(630) 960-9222
Entity
Organization
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-3043
(630) 770-2172
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Enumeration date
07/19/2005
Last updated
07/21/2022
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