NPI 1083972624

Gastroenterology Services Endoscopy Suite, LTD

Organisation Endoscopy Clinic/Center Downers Grove, IL

Practice location

Address: 3825 Highland Ave STE 203, Downers Grove, IL 60515-1561
Phone: (630) 969-1167
Fax: (630) 969-1297

Authorised official

Name: David Philip Gerard
Title: President
Phone: (630) 969-1167

Registered specialties

Endoscopy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0800X Licence 6827 782 5 (IL)

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Registry record

NPI: 1083972624
Entity type: Organization
NPI issued: 2 May 2012
Record last updated: 2 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.