Lake Shore Gastroenterology

LBN: Lake Shore Gastroenterology
Lake Shore Gastroenterology is an health care organization with primary practice located at 9701 Knox Ave Suite 103, Skokie IL 60076-1256. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Lake Shore Gastroenterology can be contacted via phone (847) 433-9840, or through Glaws, Walter Reis via phone (847) 244-2960.

Contact Information

Primary practice address
9701 Knox Ave Suite 103 Skokie IL 60076-1256
Phone: (847) 433-9840
Fax: (847) 433-9842
Website:
Map and Directions
Authorized official contact:
Name: Glaws, Walter Reis Doctor of Osteopathy (DO)
Phone: (847) 244-2960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Illinois

Profile Details

NPI number 1932225836
LBN Legal business name Lake Shore Gastroenterology
DBA Doing business as
Authorized official Glaws, Walter Reis Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 27th, 2007 - about 18 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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