NPI 1003841651
Mohan Phatak, MD
Practice location
- Address
- 7435 W Talcott Ave, Chicago, IL 60631-3707
- Phone
- (773) 792-5138
- Fax
- (773) 792-5124
- Mailing address
- PO Box 68, Northbrook, IL 60065-0068
Registered specialties (6)
Pediatric Radiology Physician
Primary
Body Imaging Physician
Neuroradiology Physician
Nuclear Radiology Physician
Diagnostic Radiology Physician
Diagnostic Ultrasound Physician
Registry record
- NPI
- 1003841651
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jul 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.