Dr Neel Gopal Bhalala, MD | |
2024 Lewis Ave, Zion, IL 60099-1546 | |
(847) 872-5911 | |
(847) 872-7202 |
Full Name | Dr Neel Gopal Bhalala |
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Gender | Male |
Speciality | Family Medicine |
Location | 2024 Lewis Ave, Zion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992118624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036.147760 (Illinois) | Primary |
207Q00000X | Family Medicine | R-09912 (Iowa) | Secondary |
Entity Name | Gopal N Bhalala M.d..llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619404803 PECOS PAC ID: 9638437692 Enrollment ID: O20171220001369 |
Mailing Address | Practice Location Address |
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Dr Neel Gopal Bhalala, MD 2024 Lewis Ave, Zion, IL 60099-1546 Ph: (847) 872-5911 | Dr Neel Gopal Bhalala, MD 2024 Lewis Ave, Zion, IL 60099-1546 Ph: (847) 872-5911 |
Mr. Clarence D Engstrom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3115 Lewis Ave, Zion, IL 60099 Phone: 847-746-3752 Fax: 847-746-9144 | |
Anuvesha Samala, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2723 Sheridan Rd, Suite # C, Zion, IL 60099 Phone: 847-360-4260 | |
Mr. Dennis E Mccreary, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3115 Lewis Ave, Zion, IL 60099 Phone: 847-746-3752 Fax: 847-746-9144 | |
Pedro Palu-ay, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2606 Elisha Ave, Zion, IL 60099 Phone: 847-872-4558 Fax: 847-872-9334 |