Bhavani Sivarajan is a Specialist in Joliet, Illinois. Bhavani Sivarajan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bhavani Sivarajan is 1396711701. The last update date is 2010-05-19.
Bhavani Sivarajan's current location address is 1715 Glenwood Ave, Joliet, Illinois. You can contact this provider via phone number 8157441089 and fax number 8157440460. The mailing address for Bhavani Sivarajan is 1715 Glenwood Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bhavani Sivarajan |
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Address | 1715 Glenwood Ave, Joliet, Illinois |
Phone Number | 8157441089 |
Fax Number | 8157440460 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1396711701 |
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Provider Enumeration Date | 2006-02-24 |
Last Updated Date | 2010-05-19 |
Provider Mailing Address Detail
Address | 1715 Glenwood Ave |
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City | Joliet |
State | Illinois (IL) |
Post Code | 604355835 |
Phone Number | 8157441089 |
Fax Number | 8157440460 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 36072478 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
36072478 | IL | LICENCE NUMBER | |
36072478 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bhavani Sivarajan by the Centers for Medicare & Medicaid Services?
The Bhavani Sivarajan has been issued the NPI (National Provider Identifier) 1396711701 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Bhavani Sivarajan is geographically located?
The Bhavani Sivarajan is physically situated at the following location: 1715 Glenwood Ave, Joliet, IL, 604355835.
What is the area of specialization for Bhavani Sivarajan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bhavani Sivarajan is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396711701 to Bhavani Sivarajan?
The Centers for Medicare & Medicaid Services originally issued the 1396711701 to Bhavani Sivarajan on 2006-02-24.
When was the information regarding Bhavani Sivarajan most recently updated?
The details pertaining to the Bhavani Sivarajan, including its address, specialty, and other relevant information, were last refreshed on 2010-05-19.