Organization
BHAVANA VAIDYA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVANA VAIDYA (MD)
(773) 962-4025
Entity
Organization
Contact information
Practice address
10601 S KILBOURN AVE, OAK LAWN, IL 60453-5341
(773) 962-4025
Mailing address
10601 S KILBOURN AVE, OAK LAWN, IL 60453-5341
(773) 962-4025
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036066303
IL
Other
Enumeration date
04/04/2014
Last updated
06/30/2020
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