Provider Demographics
NPI:1467527333
Name:NAIK, BHARATKUMAR I (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARATKUMAR
Middle Name:I
Last Name:NAIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BHARAT
Other - Middle Name:
Other - Last Name:NAIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:807 WILDWOOD CT
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1522
Mailing Address - Country:US
Mailing Address - Phone:630-862-8599
Mailing Address - Fax:773-751-5099
Practice Address - Street 1:300 E PERSHING RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-2204
Practice Address - Country:US
Practice Address - Phone:773-548-3131
Practice Address - Fax:773-751-5099
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036055904207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036055904Medicaid
IL036055904Medicaid
ILAN7856579OtherDEA NUMBER
IL494130Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER