MEDICARE: SORAB BEDI

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	225X00000X	Occupational Therapist	056005274	IL
2	183700000X	Pharmacy Technician	049.320537	IL

General Provider Information

NPI Number	:	1346696952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SORAB BEDI

Provider Business Mailing Address
First Line	:	2400 W BROSS AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-5168
Country	:	US
Telephone Number	:	708-205-8288
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 W BROSS AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-5168
Country	:	US
Telephone Number	:	708-205-8288
Fax Number	:

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

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	10/23/2025

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Directions to “ SORAB BEDI ” Practice Location

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