Provider Demographics
NPI:1467577544
Name:BAKHRI, SANJEEV KUMAR (OTR)
Entity type:Individual
Prefix:MR
First Name:SANJEEV
Middle Name:KUMAR
Last Name:BAKHRI
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W 59TH ST APT 204
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-2571
Mailing Address - Country:US
Mailing Address - Phone:630-881-3298
Mailing Address - Fax:
Practice Address - Street 1:1681 WILLOW CIRCLE DR
Practice Address - Street 2:GENESIS REHAB SERVICES
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60435-2062
Practice Address - Country:US
Practice Address - Phone:815-744-9372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist