Organization
BHALLAMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE MATHEW (BUSINESS OFFICE MANAGER)
(708) 632-5600
Entity
Organization
Contact information
Practice address
4415 HARRISON STREET, #300, HILLSIDE, IL 60162-1953
(708) 632-5600
(708) 632-5602
Mailing address
4415 HARRISON STREET, #300, HILLSIDE, IL 60162-1953
(708) 632-5600
(708) 632-5602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
07/11/2023
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