Provider Demographics
NPI:1124401500
Name:BHATTY, OSMAN J (MD)
Entity Type:Individual
Prefix:
First Name:OSMAN
Middle Name:J
Last Name:BHATTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 N HALSTED ST STE 820
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6185
Mailing Address - Country:US
Mailing Address - Phone:773-296-7150
Mailing Address - Fax:773-296-7151
Practice Address - Street 1:3000 N HALSTED ST STE 820
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6185
Practice Address - Country:US
Practice Address - Phone:773-296-7150
Practice Address - Fax:773-296-7151
Is Sole Proprietor?:No
Enumeration Date:2015-07-03
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NETEP7497207R00000X
IL036-157752207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine