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Contact Information

GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD
3825 HIGHLAND AVE STE 203
DOWNERS GROVE, IL60515-1561
 Phone: 630-969-1167
 Fax: 630-969-1297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD

NPI Number 1083972624
LBN Legal business name GASTROENTEROLOGY SERVICES ENDOSCOPY SUITE, LTD
Authorized official DAVID GERARD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2012
Last updated 05/02/2012 - About 14 years ago
Identifiers
IL License # 6827 782 5
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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