| Deepak Bakane S.c. | |
|
100 Batson Ct Suite 204 New Lenox IL 60451-1426 | |
| (815) 462-1200 | |
| Not Available |
| Full Name | Deepak Bakane S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Batson Ct, New Lenox, Illinois |
| Authorized Official Name and Position | Deepak Bakane (OWNER) |
| Authorized Official Contact | 8154621200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepak Bakane S.c. 100 Batson Ct Suite 204 New Lenox IL 60451-1426 Ph: (815) 462-1200 | Deepak Bakane S.c. 100 Batson Ct Suite 204 New Lenox IL 60451-1426 Ph: (815) 462-1200 |
| NPI Number | 1861586216 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861586216 | NPI | - | NPPES |
| 036084685 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036084685 (Illinois) | Primary |
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