Northwestern Medical Associates,S.C. in Morton Grove - Gastroenterology
Northwestern Medical Associates,S.C. - NPI 1205091238
Northwestern Medical Associates,S.C. is a Gastroenterology in Morton Grove, Illinois. Northwestern Medical Associates,S.C. practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Northwestern Medical Associates,S.C. is 1205091238. The last update date is 2008-07-18.
Northwestern Medical Associates,S.C.'s current location address is 5446 Kirk St, Morton Grove, Illinois. You can contact this provider via phone number 3122010536 and fax number 3122010538. The mailing address for Northwestern Medical Associates,S.C. is 5446 Kirk St, Morton Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwestern Medical Associates,S.C. |
|---|---|
| Address | 5446 Kirk St, Morton Grove, Illinois |
| Phone Number | 3122010536 |
| Fax Number | 3122010538 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gupta R Roop |
| Credentials | MD |
| Telephone Number | 3122010536 |
NPI Number Detail
| NPI Number | 1205091238 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2008-07-18 |
Provider Mailing Address Detail
| Address | 5446 Kirk St |
|---|---|
| City | Morton Grove |
| State | Illinois (IL) |
| Post Code | 600533611 |
| Phone Number | 3122010536 |
| Fax Number | 3122010538 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 36069245 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3160263476 | IL | BCBSIL | |
| 3606924501 | IL | -- | |
| 1184600991 | IL | NPI |
Post Comment/ Review Below
What is the Northwestern Medical Associates,S.C.'s 1205091238?
The Northwestern Medical Associates,S.C.'s NPI (National Provider Identifier) Number is 1205091238. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Northwestern Medical Associates,S.C. is physically located?
The Northwestern Medical Associates,S.C. is physically situated at the following address: 5446 Kirk St, Morton Grove, IL, 600533611.
What is Northwestern Medical Associates,S.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northwestern Medical Associates,S.C.'s specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.
On what date did the Northwestern Medical Associates,S.C. receive its 1205091238 assignment from the Centers for Medicare & Medicaid Services?
The Northwestern Medical Associates,S.C. was assigned its 1205091238 by the Centers for Medicare & Medicaid Services on 2008-07-18.
When was the information pertaining to Northwestern Medical Associates,S.C. most recently updated or revised?
The details related to Northwestern Medical Associates,S.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-07-18.