Individual
DR. GOPAL N BHALALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2024 LEWIS AVE, ZION, IL 60099-1546
(847) 872-3000
(847) 872-7202
Mailing address
2024 LEWIS AVE, ZION, IL 60099-1546
(847) 872-3000
(847) 872-7202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-072139
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072139
—
IL
Enumeration date
08/09/2005
Last updated
09/10/2007
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