Individual
DHARA SHETH BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(773) 584-6200
Mailing address
2001 S CALIFORNIA AVE, CHICAGO, IL 60608-2486
(773) 584-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036152308
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036152308
—
IL
Enumeration date
05/23/2016
Last updated
09/09/2020
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