| Varsha Bhan Md Sc | |
|
17850 Kedzie Ave Suite 1700 Hazel Crest IL 60429-2058 | |
| (708) 669-1630 | |
| (708) 799-2261 |
| Full Name | Varsha Bhan Md Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17850 Kedzie Ave, Hazel Crest, Illinois |
| Authorized Official Name and Position | Varsha Bhan (PHYSICIAN) |
| Authorized Official Contact | 7086691630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Varsha Bhan Md Sc 17850 South Kedzie Ave Suite 1700 Hazel Crest IL 60429 Ph: (708) 669-1630 | Varsha Bhan Md Sc 17850 Kedzie Ave Suite 1700 Hazel Crest IL 60429-2058 Ph: (708) 669-1630 |
| NPI Number | 1013177278 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Medicare PECOS PAC ID | 3779659750 |
|---|---|
| Medicare Enrollment ID | O20080828000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013177278 | NPI | - | NPPES |
| 036098405 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036098405 (Illinois) | Primary |
| Provider Name | Varsha Bhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326024357 PECOS PAC ID: 9234133356 Enrollment ID: I20071004000423 |
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