Pediatric And Adolescent Gastroenterology Group Inc

LBN: Pediatric And Adolescent Gastroenterology Group Inc
Pediatric And Adolescent Gastroenterology Group Inc is an health care organization with primary practice located at 1225 W Lake St Suite 409, Melrose Park IL 60610. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty. Pediatric And Adolescent Gastroenterology Group Inc can be contacted via phone (708) 499-7510, or through Buentello, Gloria via phone (708) 499-7510.

Contact Information

Primary practice address
1225 W Lake St Suite 409 Melrose Park IL 60610
Phone: (708) 499-7510
Fax: (708) 345-0332
Website:
Map and Directions
Authorized official contact:
Name: Buentello, Gloria Doctor of Medicine (MD)
Phone: (708) 499-7510

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 036062537 Illinois
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 1000155902 Indiana

Profile Details

NPI number 1336323484
LBN Legal business name Pediatric And Adolescent Gastroenterology Group Inc
DBA Doing business as
Authorized official Buentello, Gloria Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2007
Last updated Jun 13th, 2011 - about 14 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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