Kelly K. Bhatia
Nurse Practitioner - Critical Care Medicine
2650 Ridge Ave Ev Icu 4945
Evanston
, Illinois 60201-1718
Kelly K. Bhatia
Nurse Practitioner - Critical Care Medicine
2650 Ridge Ave Ev Icu 4945
Evanston
, Illinois 60201-1718
(847) 570-1436
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Kelly K. Bhatia
- 2650 Ridge Ave Ste 4945
- Evanston, IL
- Zip : 60201-1700
- Fax : (847) 570-1436
- Phone : (847) 570-4103
Second Address
- Kelly K. Bhatia
- 2650 Ridge Ave Ev Icu 4945
- Evanston, IL
- Zip : 60201-1718
- Phone : (847) 570-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 209007747 | IL |
National Provider Identifier
| NPI | 1326373663 |
|---|---|
| Provider Name | Kelly K. Bhatia |
| First Address | Evanston, IL 60201-1700 |
| Second Address | Evanston, IL 60201-1718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2009 |
| Last Update Date | 04/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.