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Contact Information

CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC
4440 W 95TH ST
OAK LAWN, IL60453-2600
 Phone: 708-684-5650
 Fax: 708-684-4446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC

NPI # 1629155718
LBN Legal business name CENTER FOR PEDIATRIC GASTROENTEROLOGY & NUTRITION MDSC
Authorized official RAJEEV NAGPAL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
IL Other 23300 ADVOCATE HLTH PARTNERS ID
IL Other 01605334 BCBC PROVIDER ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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