DR. MOHAN PHATAK M.D.
NPI 1003841651
Radiology - Pediatric Radiology in Chicago, IL
- Individual
- Male
- Radiology
- Pediatric Radiology
About MOHAN PHATAK
This page provides the complete NPI Profile along with additional information for Mohan Phatak, a provider established in Chicago, Illinois with a medical specialization in Radiology, focusing in pediatric radiology . The healthcare provider is registered in the NPI registry with number 1003841651 assigned on July 2006. The practitioner's primary taxonomy code is 2085P0229X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1003841651 Verify this NPI
- Provider Name
- DR. MOHAN PHATAK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7435 W TALCOTT AVE CHICAGO, IL 60631
- Location Phone
- (773) 792-5138
- Location Fax
- (773) 792-5124
- Mailing Address
- PO BOX 68 NORTHBROOK, IL 60065
- Mailing Phone
- (847) 412-9213
- Mailing Fax
- (847) 412-9381
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Pediatric Radiology
- Taxonomy Code
- 2085P0229X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085B0100X | Allopathic & Osteopathic Physicians | Radiology | (IL) |
| 2 | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | (IL) |
| 3 | 2085N0904X | Allopathic & Osteopathic Physicians | Radiology | (IL) |
| 4 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | (IL) |
| 5 | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0001619902 | OTHER (01) | IL | BLUE CROSS BLUE SHIELD-IL |
| 036053629-1 | MEDICAID (05) | IL |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
CHICAGO, IL 60631
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003841651, enumerated as an "individual" on July 12, 2006.
The provider is located at 7435 W TALCOTT AVE CHICAGO, IL 60631 and the phone number is (773) 792-5138.
Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
