GOPAL N. BHALALA, M.D..LLC
NPI 1619404803
Clinic/Center - Primary Care in Zion, IL

Active since May 18, 2017CLIA 14D2048347 · Waiver
2024 LEWIS AVE, ZION, IL 60099(847) 872-5911(847) 872-7202 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, May 18, 2017 (2 updates tracked since 2017).

About Gopal N. Bhalala, M.d..llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOPAL N. BHALALA, M.D..LLC (NPI 1619404803) is a healthcare organization registered as a primary care in Zion, Illinois and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Gopal N Bhalala, Md, as its authorized official.

NPPES Registry Identity

NPI1619404803
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOPAL N. BHALALA, M.D..LLC
Location Address2024 LEWIS AVEZion, IL 60099-1546
Mailing Address2024 Lewis AveZion, IL 60099-1546 · (847) 872-5911 · Fax (847) 872-7202
Fax(847) 872-7202
Organization SubpartYesParent: Gopal N. Bhalala Md
Authorized OfficialGopal N BhalalaMd · (847) 872-5911
Enumeration DateMay 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1619404803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036-072139
2024 LEWIS AVE, Zion, IL 60099

Other Identifiers 1

Medicaid036072139IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2048347

Gopal Bhalala M D · Zion, IL
Active · expires Oct 14, 2026
CLIA Number14D2048347
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorGopal N. Bhalala
Laboratory Phone(847) 872-5911
Laboratory LocationGopal Bhalala M D2024 Lewis Ave, Zion, IL 60099
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2024 LEWIS AVE
ZION, IL 60099
Family Medicine
2024 LEWIS AVE
ZION, IL 60099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gopal N. Bhalala, M.D..Llc's NPI number?

The NPI number for Gopal N. Bhalala, M.D..Llc is 1619404803. It was assigned to this organization in the NPPES registry on May 18, 2017.

Where is Gopal N. Bhalala, M.D..Llc located?

Gopal N. Bhalala, M.D..Llc is located at 2024 Lewis Ave, Zion, IL 60099. The listed phone number is (847) 872-5911.

What is Gopal N. Bhalala, M.D..Llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Gopal N. Bhalala, M.D..Llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2048347) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gopal N. Bhalala, M.D..Llc was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.