MEDICARE: OSMAN J BHATTY MD

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
1	207R00000X	Internal Medicine Physician	TEP7497	NE
2	207RR0500X	Rheumatology Physician	036-157752	IL

General Provider Information

NPI Number	:	1124401500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSMAN J BHATTY MD

Provider Business Mailing Address
First Line	:	3000 N HALSTED ST STE 820
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6185
Country	:	US
Telephone Number	:	773-296-7150
Fax Number	:	773-296-7151

Provider Business Practice Location Address
First Line	:	3000 N HALSTED ST STE 820
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6185
Country	:	US
Telephone Number	:	773-296-7150
Fax Number	:	773-296-7151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2015
Last Update Date	:	04/19/2022

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