Individual
GIFTY BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1801 W TAYLOR ST STE 2E, UI HEALTH OCC, CHICAGO, IL 60612-4795
(312) 996-7416
(312) 996-8204
Mailing address
840 S WOOD ST STE 1203, UI HEALTH CLINICAL SCIENCES BUILDING, CHICAGO, IL 60612-4325
(312) 996-4138
(312) 996-8204
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
036-140818
IL
208000000X
Pediatrics Physician
036140818
IL
Other
Enumeration date
08/18/2011
Last updated
07/13/2020
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