Provider Demographics
NPI:1447336136
Name:BHOJWANI, ARUN A (MD)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:A
Last Name:BHOJWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:909 DAVIS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3645
Mailing Address - Country:US
Mailing Address - Phone:847-866-3700
Mailing Address - Fax:847-866-3746
Practice Address - Street 1:909 DAVIS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3645
Practice Address - Country:US
Practice Address - Phone:847-866-3700
Practice Address - Fax:847-866-3746
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036081283207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF53918Medicare UPIN