Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GAUTAM K BHANUSHALI, MD
Active Sole ProprietorDR. GAUTAM K BHANUSHALI, MD is a Nephrology healthcare provider located in CHICAGO, Illinois. NPI 1073829990 is currently active in the NPPES registry. Verify at CMS.
Nephrology · CHICAGO, IL
Registration Details
- NPI Number
- 1073829990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2010 (15.989860289196 yrs)
- Last Updated
- Aug 4, 2025
- License
-
036132193 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2701 W 68TH STREETPROFESSIONAL PAVILION 4 SOUTHCHICAGO, IL, 60629Browse IL providers · Browse ZIP 60629
- Phone
- 7737354884
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| GEORGE DUNEA | MD | 1639176746 |
| ASHUTOSH GUPTA | MD | 1528065646 |
| SURESH C HATHIWALA | MD | 1508863655 |
| CHIA HUANG | MD | 1144227877 |
| DR. EARL C SMITH | M.D. | 1760483614 |
| DR. MOHAMMAD M AHMED | M.D. | 1831190784 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.