| Organization Name: | VARSHA BHAN MD SC |
| NPI Number: | 1013177278 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VARSHA BHAN (PHYSICIAN) |
| Mailing Address: | 17850 Kedzie Ave Suite 1700 Hazel Crest |
| State: | IL US |
| Postal Code: | 604292058 |
| Phone Number: | 7086691630 |
| Fax Number: | 7087992261 |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 036098405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |