SOUTHWEST GASTROENTEROLOGY S.C. NPI 1821247495

NPI Information

SOUTHWEST GASTROENTEROLOGY, S.C. is a gastroenterology internal medicine in Oak Lawn, 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. SOUTHWEST GASTROENTEROLOGY, S.C. NPI is 1821247495. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9921 SOUTHWEST HWY
OAK LAWN, IL
ZIP 60453-767
Phone: (708) 499-5678
Fax: (708) 499-5685

The provider's authorized official is Jeffrey Port .
The authorized official title is President and has the following contact phone number (708) 499-5678.

The CLIA number assigned to this NPI record is 14D2142816 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2008 and was last updated on 1/28/2009.

Taxonomy Codes

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Other Identifiers

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