LAKE SHORE GASTROENTEROLOGY is a gastroenterology internal medicine in Evanston, 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. LAKE SHORE GASTROENTEROLOGY NPI is 1588780894. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
800 AUSTIN ST
SUITE 403 WEST TOWER
EVANSTON, IL
ZIP 60202-439
Phone: (847) 491-9020
Fax: (847) 491-0182
The provider's authorized official is Walter Reid Glaws .
The authorized official title is President and has the following contact phone number (847) 244-2960.
The CLIA number assigned to this NPI record is 14D2040811 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/27/2007.