MEDICARE: MALCOLM M BILIMORIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	036088209	IL

General Provider Information

NPI Number	:	1548337215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALCOLM M BILIMORIA MD

Provider Business Mailing Address
First Line	:	880 W CENTRAL RD
Second Line	:	SUITE 4400
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:	847-483-9400
Fax Number	:	847-483-9426

Provider Business Practice Location Address
First Line	:	880 W CENTRAL RD
Second Line	:	SUITE 4400
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2355
Country	:	US
Telephone Number	:	847-483-9400
Fax Number	:	847-483-9426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	02/15/2010

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Directions to “ MALCOLM M BILIMORIA MD” Practice Location

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