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Individual

GOPAL LALMALANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2340 S HIGHLAND AVE, LOMBARD, IL 60148-5371
(630) 792-0900
(630) 792-0966
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036050305
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618378
BCBS PROVIDER ID
IL
05
036050305
IL
01
060009557
RAILROAD MEDICARE
IL
01
060018893
RAILROAD MEDICARE
IL
01
36365711702
ADVOCATE HLTH CENTERS ID
IL
01
36365711726251
ADVOCATE HLTH PARTNERS ID
IL
Enumeration date
07/23/2006
Last updated
02/24/2015
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