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NPI Code Detail

MEDICARE: RAJEEV BHORADE M.D.

MEDICARE: RAJEEV BHORADE M.D.
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
12085R0202XDiagnostic Radiology Physician036106526IL

General Provider Information

NPI Number : 1184609224
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJEEV BHORADE M.D.
Provider Business Mailing Address
First Line : 2650 RIDGE AVE.
Second Line : SUITE 1223
City : EVANSTON
State : IL
Zip : 60201-1718
Country : US
Telephone Number : 847-570-2040
Fax Number :
Provider Business Practice Location Address
First Line : 155 E. BRUSH HILL RD. DEPARTMENT OF RADIOLOGY
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5658
Country : US
Telephone Number : 331-221-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 09/04/2025

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