Associate S In Gastroenterology & Liver Disease , Llc

LBN: Associate S In Gastroenterology & Liver Disease , Llc
Associate S In Gastroenterology & Liver Disease , Llc is an health care organization with primary practice located at 800 N Westmoreland Rd Suite 102, Lake Forest IL 60045-1673. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Associate S In Gastroenterology & Liver Disease , Llc can be contacted via phone (847) 295-1300, or through Fradkin, Pat via phone (847) 295-1300.

Contact Information

Primary practice address
800 N Westmoreland Rd Suite 102 Lake Forest IL 60045-1673
Fax: (847) 295-1574
Website:
Authorized official contact:
Name: Fradkin, Pat

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1558315747
LBN Legal business name Associate S In Gastroenterology & Liver Disease , Llc
DBA Doing business as
Authorized official Fradkin, Pat
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558315747 NPPES
Illinois Other 04929961 BLUE SHIELD

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