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Contact Information

MOHAN PHATAK, MD
7435 W TALCOTT AVE
CHICAGO, IL60631-3707
 Phone: 773-792-5138
 Fax: 773-792-5124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Radiology

2085P0229X
 

Body Imaging

2085B0100X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for MOHAN PHATAK · (Male)

NPI Number 1003841651
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 036053629-1
  • IL Other 0001619902 BLUE CROSS BLUE SHIELD-IL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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