Active NPI
Amarjit S Bhasin MD LTD
- Neurology Physician
- Hazel Crest, IL
National Provider Identifier
1891984019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- AMARJIT S BHASIN MD LTD
- Practice address
- 17680 Kedzie Ave
Suite 105
Hazel Crest, IL 60429 - Phone
- (708) 799-3044
- Fax
- (708) 799-2441
- NPI assigned
- Oct 24, 2007
- Last updated
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amarjit Singh Bhasin, MD
- Title
- Neurologist President
- Phone
- (708) 799-3044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | IL | Primary |
Addresses
Primary practice location
17680 Kedzie Ave
Suite 105
Hazel Crest, IL 60429
Mailing address
17680 Kedzie Ave
Suite 105
Hazel Crest, IL 60429
Phone (708) 799-3044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100273770 | Medicaid | IN | |
| 036063300 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
17680 Kedzie Ave
Ste 105
Hazel Crest, IL 60429
Phone (708) 261-2204
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Munster, IN
- NPI 1578637245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193184000000",
"number": "1891984019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17680 KEDZIE AVE",
"address_2": "SUITE 105",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "60429",
"telephone_number": "708-799-3044",
"fax_number": "708-799-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17680 KEDZIE AVE",
"address_2": "SUITE 105",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "60429",
"telephone_number": "708-799-3044",
"fax_number": "708-799-2441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMARJIT S BHASIN MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A",
"authorized_official_last_name": "BHASIN",
"authorized_official_first_name": "AMARJIT",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "NEUROLOGIST PRESIDENT",
"authorized_official_telephone_number": "708-799-3044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100273770",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036063300",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.