MEDICARE: BHAVIK LAKHANI DMD

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	1223G0001X	General Practice Dentistry	019032652	IL

General Provider Information

NPI Number	:	1932723111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAVIK LAKHANI DMD

Provider Business Mailing Address
First Line	:	8 W MONROE ST APT 1106
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-2450
Country	:	US
Telephone Number	:	704-547-4841
Fax Number	:

Provider Business Practice Location Address
First Line	:	5843 S WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60636-1526
Country	:	US
Telephone Number	:	773-434-8600
Fax Number	:

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

Provider Enumeration Date	:	06/03/2020
Last Update Date	:	06/03/2020

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