Individual
CHETAN BHARDWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-4410
(309) 692-4730
Mailing address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-4410
(309) 692-4730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036140104
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036140104
IL
207RC0000X
Cardiovascular Disease Physician
036140104
IL
Other
Enumeration date
07/21/2008
Last updated
11/10/2025
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