Organization
UPTOWN MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT C BHALERAO M.D (DIRECTOR CLINIC)
(733) 257-1880
Entity
Organization
Contact information
Practice address
4527 N SHERIDAN RD, CHICAGO, IL 60640-5608
(773) 275-1880
(773) 275-1813
Mailing address
4527 N SHERIDAN RD, CHICAGO, IL 60640-5608
(773) 275-1880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036046837
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036046837
IL
Other
Enumeration date
08/06/2008
Last updated
08/26/2008
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