Organization Active NPI

Motilal a Bhatia MD SC

  • Gastroenterology Physician
  • Hazel Crest, IL
National Provider Identifier
1457652950
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036062322 Issued in IL
Legal business name
MOTILAL A BHATIA MD SC
Doing business as
Motilal A Bhatia MD SC
Practice address
17850 Kedzie Ave Ste 2100
Hazel Crest, IL 60429-2056
Phone
(708) 957-4011
Fax
(708) 957-4013
NPI assigned
Nov 15, 2010
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Motial A Bhatia, MD
Title
President
Phone
(708) 957-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 036062322 IL Primary

Addresses

Primary practice location

17850 Kedzie Ave Ste 2100
Hazel Crest, IL 60429-2056

Mailing address

17850 Kedzie Ave Ste 2100
Hazel Crest, IL 60429-2056
Phone (708) 957-4011

Other names 1

  • Motilal A Bhatia MD SC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1457652950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE STE 2100",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292056",
            "telephone_number": "708-957-4011",
            "fax_number": "708-957-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE STE 2100",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292056",
            "telephone_number": "708-957-4011",
            "fax_number": "708-957-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTILAL A BHATIA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "MOTIAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-957-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036062322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motilal A Bhatia MD SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.