Amarjit S Bhasin Md Ltd | |
17680 Kedzie Ave Suite 105 Hazel Crest IL 60429 | |
(708) 799-3044 | |
(708) 799-2441 |
Full Name | Amarjit S Bhasin Md Ltd |
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Speciality | Psychiatry & Neurology |
Location | 17680 Kedzie Ave, Hazel Crest, Illinois |
Authorized Official Name and Position | Amarjit Singh Bhasin (NEUROLOGIST PRESIDENT) |
Authorized Official Contact | 7087993044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amarjit S Bhasin Md Ltd 17680 Kedzie Ave Suite 105 Hazel Crest IL 60429 Ph: (708) 799-3044 | Amarjit S Bhasin Md Ltd 17680 Kedzie Ave Suite 105 Hazel Crest IL 60429 Ph: (708) 799-3044 |
NPI Number | 1891984019 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 10/24/2007 |
Medicare PECOS PAC ID | 8628144466 |
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Medicare Enrollment ID | O20080903000079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891984019 | NPI | - | NPPES |
100273770 | Medicaid | IN | |
036063300 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (Illinois) | Primary |
Provider Name | Amarjit S Bhasin |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1518975432 PECOS PAC ID: 8123194966 Enrollment ID: I20080903000042 |
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