DIAMOND GASTROENTEROLOGY SC NPI 1043624752

NPI Information

  • NPI: 1043624752
  • Provider Name: DIAMOND GASTROENTEROLOGY SC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 1010 LAKE ST STE 424
    OAK PARK, IL
    ZIP 60301
  • Phone: (708) 613-4417

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NPI Details

DIAMOND GASTROENTEROLOGY SC is a gastroenterology internal medicine in Oak Park, 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. DIAMOND GASTROENTEROLOGY SC NPI is 1043624752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1010 LAKE ST STE 424
OAK PARK, IL
ZIP 60301-185
Phone: (708) 613-4417

The provider's authorized official is Ilysa Diamond .
The authorized official title is Owner and has the following contact phone number (708) 613-4417.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 8/2/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology36120184ILLINOISYes

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: 3/30/2025

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