Individual
MADHU GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
845 W WILSON AVE, CHICAGO, IL 60640-5704
(773) 506-4283
(773) 506-4847
Mailing address
845 W WILSON AVE, CHICAGO, IL 60640-5704
(773) 506-4283
(773) 506-4847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-094944
IL
Other
Enumeration date
10/23/2006
Last updated
04/25/2013
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