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General NPI Number Information
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NPI Number | 1922960921
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Entity Type | Organization
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Legal Business Name | GOPT PLLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 4824 148TH ST
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City | MIDLOTHIAN
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State | IL
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Zip | 60445-3117
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Country | US
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Telephone | 312-624-8364
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Fax | 312-929-3323
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Provider Business Mailing Address
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Address Line | 4824 148TH ST
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City | MIDLOTHIAN
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State | IL
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Zip | 60445-3117
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Country | US
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Telephone | 312-624-8364
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Fax | 312-929-3323
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Authorized Official
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Title or Position | C.E.O.
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Name | NEEMA BAYRAN
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Credential | MD
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Telephone | 312-531-1580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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