Individual
KYLE RAJ BHATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 E DEVON AVE STE 200, ITASCA, IL 60143-2639
(864) 625-3376
Mailing address
550 E DEVON AVE STE 200, ITASCA, IL 60143-2639
(864) 625-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036169158
IL
Other
Enumeration date
03/31/2020
Last updated
04/16/2024
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