Bhalla, Suresh
Bhalla, Suresh is an sole proprietor health care provider with primary practice located at 210 N Hammes Ave Suite 112, Joliet IL 60435-6680. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bhalla, Suresh can be contacted via phone (815) 744-2054.Contact Information
Primary practice address
210 N Hammes Ave Suite 112
Joliet IL 60435-6680
Phone: (815) 744-2054
Fax: (815) 744-5823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036062964 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036062964 | Illinois |
Profile Details
| NPI number | 1811995426 |
|---|---|
| LBN Legal business name | Bhalla, Suresh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Nov 21st, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811995426 | NPPES |
| Illinois | MEDICAID | 036062964 |
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