Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gautam K Bhanushali, MD

Individual provider Nephrology Physician · NPI 1073829990

Dr. Gautam K Bhanushali, MD is a Nephrology in Chicago, Illinois. Qualified in 2003, 23 years ago. Practices with Nephrology Associates of Northern Illinois Ltd, a 117-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2701 W 68th Street Professional Pavilion 4 S
Chicago, IL 60629
Phone: (773) 735-4884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2055 W Army Trail Rd Ste 110e, Addison, IL 60101-1478 — (773) 284-9247
  • 6307 S Stewart Ave # 210, Chicago, IL 60621-3116 — (773) 483-2200
  • 2850 W 95th St Ste 300, Evergreen Park, IL 60805-2741 — (773) 483-2200

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036132193 (IL)

Record details

NPI number1073829990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2010
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Nephrology Associates Of Northern Illinois Ltd — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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