Organization
GOPAL N. BHALALA, M.D..LLC
Active
Parent organization
GOPAL N. BHALALA MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOPAL N. BHALALA MD
Authorized official
GOPAL N BHALALA MD (MD)
(847) 872-5911
Entity
Organization
Contact information
Practice address
2024 LEWIS AVE, ZION, IL 60099-1546
(847) 872-5911
(847) 872-7202
Mailing address
2024 LEWIS AVE, ZION, IL 60099-1546
(847) 872-5911
(847) 872-7202
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036-072139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072139
—
IL
Enumeration date
05/18/2017
Last updated
07/21/2022
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