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Individual

KUNJAN SATISHKUMAR BHAKTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 N WESTMORELAND RD STE 100700, LAKE FOREST, IL 60045-1673
(847) 234-4310
(224) 271-4600
Mailing address
800 N WESTMORELAND RD STE 100700, LAKE FOREST, IL 60045-1673
(847) 234-4310
(224) 271-4600

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301085694
MI
208600000X
Surgery Physician
A99192
CA
2086S0102X
Surgical Critical Care Physician
4301085694
MI
2086S0127X
Trauma Surgery Physician
Primary
036158123
IL

Other

Enumeration date
06/17/2008
Last updated
01/12/2022
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