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Contact Information

CAROLYN M BHAKTA, MD
2520 ELISHA AVE
ZION, IL60099-2676
 Phone: 847-731-5641
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CAROLYN M BHAKTA · (Female)

NPI Number 1740509264
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2010
Last updated 01/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A157074
  • IL License # 036.141240
  • IL License # 036141240
Hospital affiliation(s)
  • JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS - (Acute Care)
    2540 EAST ST
    CONCORD, CA 94520
  • JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS - (Acute Care)
    1601 YGNACIO VALLEY RD
    WALNUT CREEK, CA 94598
  • MIDWESTERN REGION MED CENTER - (Acute Care)
    2520 ELISHA AVENUE
    ZION, IL 60099
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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