DR. MOHAN PHATAK M.D. NPI 1003841651

NPI Information

NPI: 1003841651
Provider Name: DR. MOHAN PHATAK, M.D.
Classification: Radiology - 2085P0229X
Specialization: Pediatric Radiology
Entity Type: Individual
Address: 7435 W TALCOTT AVE
CHICAGO, IL
ZIP 60631
Phone: (773) 792-5138

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NPI Details

DR. Mohan Phatak, M.D. is a pediatric radiology radiology in Chicago, IL. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. DR. Mohan Phatak, M.D. NPI is 1003841651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7435 W TALCOTT AVE
CHICAGO, IL
ZIP 60631-707
Phone: (773) 792-5138
Fax: (773) 792-5124

The enumeration date for this NPI number is 7/12/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2085B0100X	Radiology	Body Imaging	ILLINOIS	No
2	2085N0700X	Radiology	Neuroradiology	ILLINOIS	No
3	2085N0904X	Radiology	Nuclear Radiology	ILLINOIS	No
4	2085P0229X	Radiology	Pediatric Radiology	ILLINOIS	Yes
5	2085R0202X	Radiology	Diagnostic Radiology	ILLINOIS	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001619902	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD-IL
2	036053629-1	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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