Individual
DR. MANOHAR SITARAM BHANDARKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1460 MARKET ST, SUITE 202, DES PLAINES, IL 60016-4643
(847) 299-3353
(847) 299-2137
Mailing address
1460 MARKET ST, SUITE 202, DES PLAINES, IL 60016-4643
(847) 299-3353
(847) 299-2137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-058096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058096
—
IL
Enumeration date
08/31/2006
Last updated
08/04/2008
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