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Organization

BHUPINDER K. VALIA MD SER CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BHUPINDER K VALIA M.D. (OWNER)
(708) 331-8830
Entity
Organization

Contact information

Practice address
16115 LA SALLE ST, SOUTH HOLLAND, IL 60473-2064
(708) 331-8830
(708) 331-8860
Mailing address
PO BOX 1179, MATTESON, IL 60443-4179
(708) 747-5850
(708) 747-9991

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01635595
BLUE SHIELD PPO
IL
Enumeration date
12/27/2006
Last updated
10/23/2007
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