Individual
DR. BHANU KAPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7000 MANNHEIM RD, ROSEMONT, IL 60018-3621
(847) 795-1807
(847) 795-0141
Mailing address
7000 MANNHEIM RD, ROSEMONT, IL 60018-3621
(847) 795-1807
(847) 795-0141
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635275
BLUE CROSS BLUE SHIELD
IL
01
—
7520397
AETNA PROVIDER NUMBER
IL
Enumeration date
10/13/2006
Last updated
07/09/2007
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