Organization
DEEPAK BAKANE S.C.
Active
Organization
DEEPAK BAKANE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK BAKANE (OWNER)
(815) 462-1200
Entity
Organization
Contact information
Practice address
100 BATSON CT, SUITE 204, NEW LENOX, IL 60451-1426
(815) 462-1200
Mailing address
100 BATSON CT, SUITE 204, NEW LENOX, IL 60451-1426
(815) 462-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036084685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084685
—
IL
Enumeration date
10/02/2006
Last updated
12/17/2007
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