CENTER FOR DIGESTIVE HEALTH NPI 1619920501

NPI Information

NPI: 1619920501
Provider Name: CENTER FOR DIGESTIVE HEALTH
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D1022708

Address:
1615 N CONVENT ST
BOURBONNAIS, IL
ZIP 60914
Phone: (815) 936-1700
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CENTER FOR DIGESTIVE HEALTH is an ambulatory surgical clinic center in Bourbonnais, IL. CENTER FOR DIGESTIVE HEALTH NPI is 1619920501. The provider is registered as an organization entity type.

The provider's business location address is:

1615 N CONVENT ST
BOURBONNAIS, IL
ZIP 60914-092
Phone: (815) 936-1700

The provider's authorized official is Christina O'connor .
The authorized official title is Administrator and has the following contact phone number (815) 937-5200.

The CLIA number assigned to this NPI record is 14D1022708 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	7002876	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50356	OTHER	ILLINOIS	BCBS

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

NPI Synchronization or Removal

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