Bhallamd, LLC
Bhallamd, LLC is a healthcare organization registered as Geriatric Medicine (Internal Medicine) Physician in Hillside, IL, holding Type 2 (organization) NPI 1710434964 since 2016. The authorized official on file is Jake Mathew, Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710434964 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bhallamd, LLC |
| Practice address | 4415 HARRISON STREET, #300, Hillside, IL, 60162 |
| Phone | 7086325600 |
| Fax | 7086325602 |
| Enumeration date | 2016-09-06 |
| Last updated in NPPES | 2023-07-11 |
Authorized official
| Name | Jake Mathew |
|---|---|
| Title | Business Office Manager |
| Phone | 7086325600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | Primary | — | — |
Copy-ready billing details
Provider: Bhallamd, LLC NPI: 1710434964 Taxonomy: 207RG0300X (Geriatric Medicine (Internal Medicine) Physician) Address: 4415 HARRISON STREET, #300, Hillside, IL, 60162
Verify this record
Cross-check NPI 1710434964 against the authoritative CMS record: view Bhallamd, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bhallamd, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-07-11.