Deepak Bakane S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036084685 Issued in IL

Legal business name

DEEPAK BAKANE S.C.

Practice address

100 Batson CT
Suite 204
New Lenox, IL 60451-1426

Phone

(815) 462-1200

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Deepak Bakane

Title

Owner

Phone

(815) 462-1200

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1861586216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BATSON CT",
            "address_2": "SUITE 204",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511426",
            "telephone_number": "815-462-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BATSON CT",
            "address_2": "SUITE 204",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511426",
            "telephone_number": "815-462-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAK BAKANE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BAKANE",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-462-1200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036084685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.