Associate S In Gastroenterology & Liver Disease , Llc in Lake Forest - Specialist
Associate S In Gastroenterology & Liver Disease , Llc - NPI 1558315747
Associate S In Gastroenterology & Liver Disease , Llc is a Specialist in Lake Forest, Illinois. Associate S In Gastroenterology & Liver Disease , Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Associate S In Gastroenterology & Liver Disease , Llc is 1558315747. The last update date is 2020-08-22.
Associate S In Gastroenterology & Liver Disease , Llc's current location address is 800 N Westmoreland Rd, Lake Forest, Illinois. You can contact this provider via phone number 8472951300 and fax number 8472951574. The mailing address for Associate S In Gastroenterology & Liver Disease , Llc is 800 N Westmoreland Rd, Lake Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Associate S In Gastroenterology & Liver Disease , Llc |
|---|---|
| Address | 800 N Westmoreland Rd, Lake Forest, Illinois |
| Phone Number | 8472951300 |
| Fax Number | 8472951574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Fradkin Pat |
| Telephone Number | 8472951300 |
NPI Number Detail
| NPI Number | 1558315747 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 800 N Westmoreland Rd |
|---|---|
| City | Lake Forest |
| State | Illinois (IL) |
| Post Code | 600451673 |
| Phone Number | 8472951300 |
| Fax Number | 8472951574 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4929961 | IL | BLUE SHIELD |
Post Comment/ Review Below
What is the Associate S In Gastroenterology & Liver Disease , Llc's unique identification number?
The Associate S In Gastroenterology & Liver Disease , Llc has been assigned the NPI (National Provider Identifier) Number 1558315747 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Associate S In Gastroenterology & Liver Disease , Llc's facilities are situated?
The facilities of Associate S In Gastroenterology & Liver Disease , Llc are physically located at the following address: 800 N Westmoreland Rd, Lake Forest, IL, 600451673.
What is Associate S In Gastroenterology & Liver Disease , Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Associate S In Gastroenterology & Liver Disease , Llc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558315747 to Associate S In Gastroenterology & Liver Disease , Llc?
The Centers for Medicare & Medicaid Services assigned the 1558315747 to Associate S In Gastroenterology & Liver Disease , Llc on 2006-05-20.
As of what date were the details related to Associate S In Gastroenterology & Liver Disease , Llc most recently updated or revised?
The information pertaining to Associate S In Gastroenterology & Liver Disease , Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.