SearchIllinois183500000X

Bhavish Bodalia

NPI 1275133399 · on the registry since 2020

Practice

Address
4 Duval Ct
Bolingbrook, IL 60490
Phone
(312) 804-1657
Fax
(630) 312-8921

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois