Most Relevant Information
Provider Data
| NPI Number: | 1003179912 |
| Provider Name: | AJAY BHASIN |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 125061650 |
Most Important Dates
| Enumeration Date: | 06/17/2012 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
251 E HURON ST
CHICAGO
IL
606112908
Practice Location Phone/Fax
| Phone: | 3129265924 |
| Fax: |
Provider Mailing Location
251 E HURON ST
CHICAGO
IL
606112908
Provider Mailing Phone/Fax
| Phone: | 3129265924 |
| Fax: |
Suggested EMR
Pediatrics EMR