NPI: 1275575706
Provider Name: ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
Former Legal Business Name: GASTROENTEROLOGY, LTD
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization
Specialization: Gastroenterology
Address:
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606
Phone: (309) 672-4980
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ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC is a gastroenterology internal medicine in Peoria, IL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC NPI is 1275575706. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Gastroenterology, Ltd.
The provider's business location address is:
1001 MAIN ST
SUITE 500A
PEORIA, IL
ZIP 61606-907
Phone: (309) 672-4980
Fax: (309) 671-2944
The provider's authorized official is Mike Shadley .
The authorized official title is Administrator and has the following contact phone number (309) 672-4980.
The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/17/2020.