Individual
BHARGAVI NETTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3641 E 108TH STREET, CHICAGO, IL 60617-6951
(773) 731-5466
Mailing address
1040 SIERRA DR, STE 400, GREENWOOD, IN 46143-7241
(317) 865-8540
(317) 865-8317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103788
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36103788
—
IL
Enumeration date
09/25/2006
Last updated
03/17/2021
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