Gastroenterology Consultants Of Libertyville Ltd in Libertyville - Gastroenterology
Gastroenterology Consultants Of Libertyville Ltd - NPI 1053483909
Gastroenterology Consultants Of Libertyville Ltd is a Gastroenterology in Libertyville, Illinois. Gastroenterology Consultants Of Libertyville Ltd practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Gastroenterology Consultants Of Libertyville Ltd is 1053483909. The last update date is 2014-02-03.
Gastroenterology Consultants Of Libertyville Ltd's current location address is 890 Garfield Avenue, Libertyville, Illinois. You can contact this provider via phone number 8476805858 and fax number 8476805862. The mailing address for Gastroenterology Consultants Of Libertyville Ltd is 890 Garfield Avenue, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gastroenterology Consultants Of Libertyville Ltd |
|---|---|
| Address | 890 Garfield Avenue, Libertyville, Illinois |
| Phone Number | 8476805858 |
| Fax Number | 8476805862 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Matseshe W John |
| Credentials | M.D. |
| Telephone Number | 8476805858 |
NPI Number Detail
| NPI Number | 1053483909 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | 890 Garfield Avenue |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600483100 |
| Phone Number | 8476805858 |
| Fax Number | 8476805862 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 42003643 |
|
Definition: 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 perf |
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What is the unique 10-digit identification code issued to Gastroenterology Consultants Of Libertyville Ltd by the Centers for Medicare & Medicaid Services?
The Gastroenterology Consultants Of Libertyville Ltd has been assigned the NPI (National Provider Identifier) 1053483909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Gastroenterology Consultants Of Libertyville Ltd's facilities are geographically located?
The facilities of Gastroenterology Consultants Of Libertyville Ltd are physically situated at the following location: 890 Garfield Avenue, Libertyville, IL, 600483100.
What is the Gastroenterology Consultants Of Libertyville Ltd's specialty and taxonomy code?
The Gastroenterology Consultants Of Libertyville Ltd's specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053483909 to Gastroenterology Consultants Of Libertyville Ltd?
The Gastroenterology Consultants Of Libertyville Ltd received its 1053483909 assignment from the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the Gastroenterology Consultants Of Libertyville Ltd's information last updated?
The Gastroenterology Consultants Of Libertyville Ltd's information was last updated on 2014-02-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY