Provider Demographics
NPI:1821183385
Name:G.I. ASSOCIATES
Entity Type:Organization
Organization Name:G.I. ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TALAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNBULLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-424-1202
Mailing Address - Street 1:10500 S CICERO
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5205
Mailing Address - Country:US
Mailing Address - Phone:708-424-1202
Mailing Address - Fax:
Practice Address - Street 1:10500 S CICERO
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5205
Practice Address - Country:US
Practice Address - Phone:708-424-1202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC42230Medicare UPIN