ASHLAND AVENUE GI, S.C.; NPI #1962781252

Contact Information

ASHLAND AVENUE GI, S.C.

3004 N ASHLAND AVE
CHICAGO, IL 60657

Phone: 773-871-4600
Fax: 773-871-2900
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for ASHLAND AVENUE GI, S.C.

NPI Number	`1962781252`
LBN Legal business name	ASHLAND AVENUE GI, S.C.
Authorized official	KEIKHOSROW GHAZANFARI - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/04/2011
Last updated	08/04/2011 - About 15 years ago
Identifiers	n/a

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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