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NPI Code Detail

MEDICARE: JASMINE NAILA BHURGRI MD

MEDICARE: JASMINE NAILA BHURGRI 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
1207Q00000XFamily Medicine Physician036-112108IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1098800OTHERHEALTH ALLIANCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821046186
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NAILA BHURGRI MD
Provider Business Mailing Address
First Line : 1614 E NORRIS DR
Second Line :
City : OTTAWA
State : IL
Zip : 61350-3681
Country : US
Telephone Number : 815-433-1010
Fax Number : 815-433-0067
Provider Business Practice Location Address
First Line : 1614 E NORRIS DR
Second Line :
City : OTTAWA
State : IL
Zip : 61350-3681
Country : US
Telephone Number : 815-433-1010
Fax Number : 815-433-0067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 09/10/2012

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Directions to “ JASMINE NAILA BHURGRI MD” Practice Location

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