Provider Demographics
NPI:1548337215
Name:BILIMORIA, MALCOLM M (MD)
Entity type:Individual
Prefix:
First Name:MALCOLM
Middle Name:M
Last Name:BILIMORIA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:880 W CENTRAL RD
Mailing Address - Street 2:SUITE 4400
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2355
Mailing Address - Country:US
Mailing Address - Phone:847-483-9400
Mailing Address - Fax:847-483-9426
Practice Address - Street 1:880 W CENTRAL RD
Practice Address - Street 2:SUITE 4400
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2355
Practice Address - Country:US
Practice Address - Phone:847-483-9400
Practice Address - Fax:847-483-9426
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2010-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036088209208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G76334Medicare UPIN