VARSHA BHAN MD SC NPI 1013177278

NPI Information

  • NPI: 1013177278
  • Provider Name: VARSHA BHAN MD SC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 17850 KEDZIE AVE
    SUITE 1700
    HAZEL CREST, IL
    ZIP 60429
  • Phone: (708) 669-1630

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NPI Details

VARSHA BHAN MD SC is a primary care clinic center in Hazel Crest, IL. VARSHA BHAN MD SC NPI is 1013177278. The provider is registered as an organization entity type.

The provider's business location address is:

17850 KEDZIE AVE
SUITE 1700
HAZEL CREST, IL
ZIP 60429-058
Phone: (708) 669-1630
Fax: (708) 799-2261

The provider's authorized official is Varsha Bhan .
The authorized official title is Physician and has the following contact phone number (708) 669-1630.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/11/2008.

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 Number License State Primary
1261QP2300XClinic/CenterPrimary Care036098405ILLINOISYes

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
1036098405MEDICAIDILLINOIS
2H17307MEDICARE UPIN

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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