<Unavail>
LBN: Chicago Gastroenterology, Llc
<Unavail> is an health care organization with primary practice located at 1431 N Western Ave Suite 133, Chicago IL 60622-1797. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Chicago Gastroenterology, Llc can be contacted via phone (773) 342-6800, or through Castillo, Samuel Francisco via phone (847) 708-7496.
Contact Information
Primary practice address
1431 N Western Ave Suite 133
Chicago IL 60622-1797
Phone: (773) 342-6800
Fax: (773) 342-6332
Website:
Authorized official contact:
Name: Castillo, Samuel Francisco Doctor of Medicine (MD)
Phone: (847) 708-7496
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 248000667 | Illinois |
Profile Details
| NPI number | 1366792426 |
|---|---|
| LBN Legal business name | Chicago Gastroenterology, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Castillo, Samuel Francisco Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2012 |
| Last updated | Sep 17th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366792426 | NPPES |
| Illinois | Other | 692861 | MEDICARE |
| Illinois | Other | 1205801313 | MEDICARE |
| Illinois | MEDICAID | 036122662 | MEDICARE |
| Illinois | MEDICAID | 036063975 | MEDICARE |
| Illinois | Other | 1467503672 | MEDICARE |
| Illinois | Other | I17297 | MEDICARE |
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