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Dr. Shruti Bahadur, MD
Family Medicine Physician in Crystal Lake, Illinois
NPI 1508035304

Shruti Bahadur is a Family Medicine Physician based in Crystal Lake, IL. Shruti Bahadur practices in Crystal Lake, IL and has the professional credentials of MD. The NPI Number for Shruti Bahadur is 1508035304 and holds a License No. 036120476 (Illinois).

The current practice location address for Shruti Bahadur is 650 Dakota St Ste A, Crystal Lake, IL and can be reached out via phone at 815-455-6000 and via fax at 815-356-1104.

Location: 650 Dakota St Ste A, Crystal Lake, IL, 60012-3744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508035304
Provider Name
Shruti Bahadur
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
650 Dakota St Ste A, Crystal Lake, IL, 60012-3744
Phone Number
815-455-6000
Fax Number
815-356-1104
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036120476 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
650 Dakota St Ste A
City
Crystal Lake
State
Illinois
Zip
60012
Phone Number
815-455-6000
Fax Number
815-356-1104
person
Provider Business Mailing Address Details
Address
650 Dakota St Ste A
City
Crystal Lake
State
Illinois
Zip
60012
Phone Number
815-455-6000
Fax Number
815-356-1104
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036120476 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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