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CHICAGO GASTROENTEROLOGY LLC NPI 1366792426


NPI Information

NPI: 1366792426
Provider Name: CHICAGO GASTROENTEROLOGY, LLC

Other Name: CHICAGO GI

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1431 N WESTERN AVE
SUITE 133
CHICAGO, IL
ZIP 60622
Phone: (773) 342-6800
Get Directions

CHICAGO GASTROENTEROLOGY, LLC is a gastroenterology internal medicine in Chicago, 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. CHICAGO GASTROENTEROLOGY, LLC NPI is 1366792426. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Chicago Gi.

The provider's business location address is:

1431 N WESTERN AVE
SUITE 133
CHICAGO, IL
ZIP 60622-797
Phone: (773) 342-6800
Fax: (773) 342-6332

The provider's authorized official is Samuel Francisco Castillo .
The authorized official title is Member and has the following contact phone number (847) 708-7496.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 9/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology248000667ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1692861OTHERILLINOISMEDICARE
21205801313OTHERILLINOISNPI
31467503672OTHERILLINOISNPI
4I17297OTHERILLINOISMEDICARE
5036063975MEDICAIDILLINOIS
6036122662MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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