Gastrointestinal Institute, Llc. in Normal - Ambulatory Surgical
Gastrointestinal Institute, Llc. - NPI 1174670723
Gastrointestinal Institute, Llc. is a Ambulatory Surgical in Normal, Illinois. Gastrointestinal Institute, Llc. practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Gastrointestinal Institute, Llc. is 1174670723. The last update date is 2023-12-08.
Gastrointestinal Institute, Llc.'s current location address is 2200 Jacobssen Dr, Normal, Illinois. You can contact this provider via phone number 3094511121 and fax number 3094511212. The mailing address for Gastrointestinal Institute, Llc. is 2200 Jacobssen Dr, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gastrointestinal Institute, Llc. |
|---|---|
| Address | 2200 Jacobssen Dr, Normal, Illinois |
| Phone Number | 3094511121 |
| Fax Number | 3094511212 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Mcgowan Arthur Phil |
| Telephone Number | 3094511123 |
NPI Number Detail
| NPI Number | 1174670723 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2023-12-08 |
Provider Mailing Address Detail
| Address | 2200 Jacobssen Dr |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617615516 |
| Phone Number | 3094511121 |
| Fax Number | 3094511212 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 7003056 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50492 | IL | BLUECROSSBLUESHIELD OF ILLINOI |
Post Comment/ Review Below
What is the Gastrointestinal Institute, Llc.'s unique identification number?
The Gastrointestinal Institute, Llc. has been assigned the NPI (National Provider Identifier) Number 1174670723 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gastrointestinal Institute, Llc.?
The Gastrointestinal Institute, Llc. is situated at 2200 Jacobssen Dr, in the city of Normal, state of IL, with the zip code 617615516.
What is Gastrointestinal Institute, Llc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gastrointestinal Institute, Llc.'s specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174670723 to Gastrointestinal Institute, Llc.?
The Centers for Medicare & Medicaid Services originally issued the 1174670723 to Gastrointestinal Institute, Llc. on 2007-01-05.
As of what date were the details related to Gastrointestinal Institute, Llc. most recently updated or revised?
The information pertaining to Gastrointestinal Institute, Llc., including its address, specialty, and other relevant details, was last updated or revised on 2023-12-08.
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