Healthcare Provider Details

I. General information

NPI: 1962496034
Provider Name (Legal Business Name): BHARATI D BHATE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HEALTH SERVICES DR ILLINOIS REGIONAL CANCER CENTER
DEKALB IL
60115
US

IV. Provider business mailing address

10 HEALTH SERVICES DR ILLINOIS REGIONAL CANCER CENTER
DEKALB IL
60115
US

V. Phone/Fax

Practice location:
  • Phone: 815-756-4722
  • Fax: 815-756-4046
Mailing address:
  • Phone: 815-756-4722
  • Fax: 815-756-4046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: