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NORTHWEST SUBURBAN ENDOSCOPY INC. NPI 1437271863


NPI Profile

NPI: 1437271863
Provider Name: NORTHWEST SUBURBAN ENDOSCOPY, INC.
Classification:Specialist - 174400000X
Entity Type: Organization
Address:
113 W LAKE ST
BLOOMINGDALE, IL
ZIP 60108
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Phone: (847) 592-6362

NORTHWEST SUBURBAN ENDOSCOPY, INC. is a specialist in Bloomingdale, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHWEST SUBURBAN ENDOSCOPY, INC. NPI is 1437271863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

113 W LAKE ST
BLOOMINGDALE, IL
ZIP 60108-006
Phone: (847) 592-6362

The provider's authorized official is John P. Moran .
The authorized official title is President and has the following contact phone number (847) 372-8096.

The enumeration date for this NPI number is 4/5/2007 and was last updated on 9/28/2012.


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
1174400000XSpecialist036084151ILLINOISYes

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
1209131MEDICARE PINILLINOIS
2208157MEDICARE PINILLINOIS

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: 9/12/2021

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