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NPI Code Detail

MEDICARE: DR. SACHIN JAYANT BHALERAO D.O.

MEDICARE: DR. SACHIN JAYANT BHALERAO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician5101016964MI
22084P0805XGeriatric Psychiatry Physician036-127291IL
32084P0800XPsychiatry Physician036127291IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083759344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SACHIN JAYANT BHALERAO D.O.
Provider Business Mailing Address
First Line : 1335 N MILL ST STE 100
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-2047
Country : US
Telephone Number : 630-646-8000
Fax Number : 630-646-8007
Provider Business Practice Location Address
First Line : 1335 N MILL ST STE 100
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-2047
Country : US
Telephone Number : 630-646-8000
Fax Number : 630-646-8007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 05/03/2021

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