Individual
GOPI A HANOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
67 W JACKSON BLVD, CHICAGO, IL 60604-3507
(312) 386-1100
(312) 386-1200
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013681
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619980
BCBS OF IL
IL
Enumeration date
10/08/2008
Last updated
02/27/2009
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