Healthcare Provider Details

I. General information

NPI: 1174186563
Provider Name (Legal Business Name): HARMEET SINGH BAWA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2019
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W. CENTRAL RD. DEPARTMENT OF ANESTHESIA
ARLINGTON HEIGHTS IL
60005-2349
US

IV. Provider business mailing address

800 W. CENTRAL RD. DEPARTMENT OF ANESTHESIA
ARLINGTON HEIGHTS IL
60005-2349
US

V. Phone/Fax

Practice location:
  • Phone: 847-570-2760
  • Fax: 847-570-2921
Mailing address:
  • Phone: 847-570-2760
  • Fax: 847-570-2921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036171379
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: