Phatak, Mohan
Phatak, Mohan is an individual health care provider with primary practice located at 7435 W Talcott Ave , Chicago IL 60631-3707. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Phatak, Mohan can be contacted via phone (773) 792-5138.Contact Information
Primary practice address
7435 W Talcott Ave
Chicago IL 60631-3707
Phone: (773) 792-5138
Fax: (773) 792-5124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | Illinois | |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | Illinois | |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | Illinois | |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | Illinois | |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Illinois | |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | Illinois |
Profile Details
| NPI number | 1003841651 |
|---|---|
| LBN Legal business name | Phatak, Mohan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003841651 | NPPES |
| Illinois | Other | 0001619902 | BLUE CROSS BLUE SHIELD-IL |
| Illinois | MEDICAID | 036053629-1 | BLUE CROSS BLUE SHIELD-IL |
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