Provider Demographics
NPI:1932230455
Name:BHATE & BHATE RADIOLOGY LTD.
Entity Type:Organization
Organization Name:BHATE & BHATE RADIOLOGY LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BHARATI
Authorized Official - Middle Name:D
Authorized Official - Last Name:BHATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-538-2717
Mailing Address - Street 1:1315 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:MENDOTA
Mailing Address - State:IL
Mailing Address - Zip Code:61342-1447
Mailing Address - Country:US
Mailing Address - Phone:815-538-2717
Mailing Address - Fax:
Practice Address - Street 1:1315 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:MENDOTA
Practice Address - State:IL
Practice Address - Zip Code:61342-1447
Practice Address - Country:US
Practice Address - Phone:815-538-2717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherTAX IDENTIFICATION NUMBER