Healthcare Provider Details

I. General information

NPI: 1922960921
Provider Name (Legal Business Name): GOPT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4824 148TH ST
MIDLOTHIAN IL
60445-3117
US

IV. Provider business mailing address

4824 148TH ST
MIDLOTHIAN IL
60445-3117
US

V. Phone/Fax

Practice location:
  • Phone: 312-624-8364
  • Fax: 312-929-3323
Mailing address:
  • Phone: 312-624-8364
  • Fax: 312-929-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: NEEMA BAYRAN
Title or Position: C.E.O.
Credential: MD
Phone: 312-531-1580