OrganizationActive
Bhallamd, LLC
NPI 1710434964 · Geriatric Medicine (Internal Medicine) Physician · Hillside, IL
Provider details
- NPI number
- 1710434964
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jake Mathew, Business Office Manager(708) 632-5600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4415 Harrison Street, #300
Hillside, IL 60162-1953
Phone: (708) 632-5600
Fax: (708) 632-5602
Street-level locationGet directions
Mailing address
4415 Harrison Street, #300
Hillside, IL 60162-1953
Registry dates
- Enumerated
- 2016-09-06
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.