Individual
DR. GOPAL S RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 705A, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-6061
(847) 981-6062
Mailing address
800 BIESTERFIELD RD STE 625, ELK GROVE VILLAGE, IL 60007-3362
(847) 981-6061
(872) 241-0118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036109000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03610900
—
IL
01
—
P00686557
RR MEDICARE
IL
Enumeration date
03/17/2006
Last updated
06/26/2024
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