Individual
SAMIR BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4415 HARRISON ST STE 300, HILLSIDE, IL 60162-1953
(630) 988-0152
(708) 632-5602
Mailing address
4415 HARRISON ST STE 300, HILLSIDE, IL 60162-1953
(708) 632-5600
(708) 632-5602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036138458
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036138458
IL
Other
Enumeration date
04/12/2012
Last updated
12/01/2021
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