Organization
MIDTOWN MEDICAL CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT C BHALERAO M.D (MEDICAL DIRECTOR)
(773) 275-6300
Entity
Organization
Contact information
Practice address
4527 N SHERIDAN RD, CHICAGO, IL 60640-5608
(773) 275-6300
(773) 275-6302
Mailing address
4527 N SHERIDAN RD, CHICAGO, IL 60640-5608
(773) 275-6300
(773) 275-6302
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036046837
IL
Other
Enumeration date
11/16/2009
Last updated
05/26/2010
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