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MIDWEST ENDOSCOPY CENTER NPI 1801149919


NPI Information

NPI: 1801149919
Provider Name: MIDWEST ENDOSCOPY CENTER

Doing Business As: MIDWEST DIGESTIVE CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D0858067

Address:
6900 S MADISON ST
SUITE 102
WILLOWBROOK, IL
ZIP 60527
Phone: (630) 325-8684
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MIDWEST ENDOSCOPY CENTER is an ambulatory surgical clinic center in Willowbrook, IL. MIDWEST ENDOSCOPY CENTER NPI is 1801149919. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Digestive Center.

The provider's business location address is:

6900 S MADISON ST
SUITE 102
WILLOWBROOK, IL
ZIP 60527-510
Phone: (630) 325-8684

The provider's authorized official is Suriya Sastri .
The authorized official title is President and has the following contact phone number (630) 325-8684.

The CLIA number assigned to this NPI record is 14D0858067 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2012 and was last updated on 10/26/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 5/5/2024

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