| NPI | 1619404803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOPAL N BHALALA Md 847-872-5911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-072139) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2022-07-21 |