Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC
Active OrganizationPEDIATRIC AND ADOLESCENT GASTROENTEROLOGY GROUP INC is a Pediatric Gastroenterology organization located in MELROSE PARK, Illinois. NPI 1336323484 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · MELROSE PARK, IL
Registration Details
- NPI Number
- 1336323484
- Provider Type
- Organization
- NPI Issued
- Dec 26, 2007 (18.669175326188 yrs)
- Last Updated
- Jun 13, 2011
- Licenses
-
1000155902 (IN)036062537 (IL)
Practice Information
- Address
-
1225 W LAKE STSUITE 409MELROSE PARK, IL, 60610Browse IL providers · Browse ZIP 60610
- Phone
- 7084997510
- Fax
- 7083450332
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.